NPI | 1245637040 |
---|---|
Doing Business As | LIV-WELL PHARMACY |
Entity Type | Organization |
Authorized Contact | TAMMIE MISKIMINS Manager 817-572-0009 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29635) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2014-11-24 |
Last Update Date | 2016-06-30 |