# LIVING WELL PHARMACY \#2 INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Living Well Express Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396852935
- **Authorized official:** PAUL PHILLIP BRYANT (CFO)
- **Authorized official phone:** (706) 422-9355

## Contact information

- **Practice address:** 824 GI MADDOX PKWY, SUITE B, CHATSWORTH, GA 30705-2073
- **Practice address phone:** (706) 517-1901
- **Practice address fax:** (706) 517-2541
- **Mailing address:** 630 TI PI LN, CHATSWORTH, GA 30705-7786
- **Mailing address phone:** (706) 517-1901
- **Mailing address fax:** (706) 517-2541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | PHRE008958 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 06/17/2025