NPI | 1891043592 |
---|---|
Doing Business As | LIVE WELL PHARMACY @ RISING SUN |
Entity Type | Organization |
Authorized Contact | TRUONG LUU Pharmacy Owner 610-761-6625 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482298) |
Enumeration Date | 2012-08-28 |
Last Update Date | 2014-11-12 |