| NPI | 1598019762 |
|---|---|
| Doing Business As | LIVING WELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | IDAYAT ADEWUNMI Owner 347-574-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2024-03-05 |