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1366065278
LIFE WELL PHARMACY, LLC
JOHNSON CITY, TN
NPI
1366065278
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Entity Type
Organization
Authorized Contact
PHILIP BLAKE MUSICK
Member
276-591-7035
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date
2020-05-27
Last Update Date
2021-08-06
Business Address
LIFE WELL PHARMACY, LLC
2408 SUSANNAH ST STE 3
JOHNSON CITY, TN 37601-1765
Phone number: 423-202-7870
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Mailing Address
LIFE WELL PHARMACY, LLC
288 LAUREL CYN
JOHNSON CITY, TN 37615-4726
Phone number: 276-591-7035
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