Live Well Drugstore LLC
NPI #1578736344 in Green Cove Springs, Florida
Provider Information
- NPI Number
- 1578736344
- Entity Type
- Organization
- Organization Name
- Live Well Drugstore LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 11, 2008
- Last Updated
- Feb 5, 2016
Practice Location
- Address
- 3516 ENTERPRISE WAY
- Address 2
- STE 7 AND 8
- State
- Florida
- ZIP Code
- 32043-9319
- Phone
- (904) 531-3030
Authorized Official
- Name
- MICHAEL TURNER
- Title
- PHCY MANG
- Phone
- (904) 531-3030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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