Thirston Ivory Divinity

Pharmacist · Clinton, MS

Individual Active NPI

NPI number 1538771894

Practice location

204 Highway 80 E
Clinton, MS 39056-4716
Phone
(601) 926-1116
Fax
(601) 926-1234

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NPI record

NPI
1538771894
Entity type
Individual (Type 1)
Enumeration date
August 18, 2020
Last updated
August 18, 2020
Certified
August 18, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X E-12650 MS

About Thirston Divinity

Thirston Ivory Divinity is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 204 Highway 80 E, Clinton, MS 39056-4716. The NPI number 1538771894 was assigned on August 18, 2020 and the record was last updated on August 18, 2020.

Thirston Divinity lists a license in the registry: #E-12650 (MS) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thirston Ivory Divinity?

The NPI number is 1538771894.

What is the phone number of Thirston Divinity?

The phone number listed for the practice location is (601) 926-1116.

Where is Thirston Divinity located?

204 Highway 80 E, Clinton, MS 39056-4716.

What is the taxonomy code for Thirston Divinity?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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