# RUTMEL, INC

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

## Provider details

- **NPI number:** 1629316047
- **Authorized official:** VICTOR L JOHNSON (R.PH., CHIEF OPERATING OFFICER)
- **Authorized official phone:** (706) 262-4455

## Contact information

- **Practice address:** 3736 MIKE PADGETT HWY, AUGUSTA, GA 30906-0719
- **Practice address phone:** (706) 262-4455
- **Practice address fax:** (706) 262-4455
- **Mailing address:** PO BOX 5, GRACEWOOD, GA 30812-0005
- **Mailing address phone:** (706) 262-4455
- **Mailing address fax:** (706) 262-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009894 | GA | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 01/18/2013