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Thirston Ivory Divinity
Pharmacist in Clinton, Mississippi
NPI 1538771894

Thirston Ivory Divinity is a Pharmacist based in Clinton, MS. Thirston Ivory Divinity practices in Clinton, MS. The NPI Number for Thirston Ivory Divinity is 1538771894 and holds a License No. E-12650 (Mississippi).

The current practice location address for Thirston Ivory Divinity is 204 Highway 80 E, Clinton, MS and can be reached out via phone at 601-926-1116 and via fax at 601-926-1234.

Location: 204 Highway 80 E, Clinton, MS, 39056-4716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538771894
Provider Name
Thirston Ivory Divinity
Credential
Provider Entity Type
Individual
Gender
Male
Address
204 Highway 80 E, Clinton, MS, 39056-4716
Phone Number
601-926-1116
Fax Number
601-926-1234
Provider Enumeration Date
08/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
204 Highway 80 E
City
Clinton
State
Mississippi
Zip
39056-4716
Phone Number
601-926-1116
Fax Number
601-926-1234
person
Provider Business Mailing Address Details
Address
204 Highway 80 E
City
Clinton
State
Mississippi
Zip
39056-4716
Phone Number
601-926-1116
Fax Number
601-926-1234
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
E-12650 (Mississippi)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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