| NPI | 1326564584 |
|---|---|
| Doing Business As | LIVE WELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN MOUSSA Owner 917-544-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2020-08-10 |