| NPI | 1245968353 |
|---|---|
| Doing Business As | LIVE WELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEPHTE ALEXANDRE Manager 862-371-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |