| NPI | 1629316047 |
|---|---|
| Doing Business As | LIVING WELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VICTOR L JOHNSON R.Ph., Chief Operating Officer 706-262-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009894) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |