Organization
RED CARPET MEDICAL
Active
Other names
Thrive Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIMI SHAROMI (OWNER)
(770) 529-9277
Entity
Organization
Contact information
Practice address
3450 COBB PKWY NW STE 110, ACWORTH, GA 30101-8376
(770) 529-9277
Mailing address
3450 COBB PKWY NW STE 110, ACWORTH, GA 30101-8376
(770) 529-9277
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009855
GA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127687A
—
GA
01
—
2135105
PK
—
Enumeration date
03/15/2012
Last updated
10/22/2021
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