# LIVEWELL PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIVEWELL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154965317
- **Authorized official:** MR. KHALID M CHAUDHARY (PIC)
- **Authorized official phone:** (347) 843-8562

## Contact information

- **Practice address:** 1432 E GUN HILL RD, BRONX, NY 10469-3061
- **Practice address phone:** (347) 843-8562
- **Practice address fax:** (347) 843-8565
- **Mailing address:** 1432 E GUN HILL RD, BRONX, NY 10469-3061
- **Mailing address phone:** (347) 843-8562
- **Mailing address fax:** (347) 843-8565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2019
- **Last updated:** 03/31/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 06077178 | — | NY |