| NPI | 1609352566 |
|---|---|
| Doing Business As | LIVE WELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN LYKINS Owner 479-770-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-01-05 |