| NPI | 1306307707 |
|---|---|
| Doing Business As | LIVE WELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAKE W CHUANG President/PIC 909-325-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |