Organization
TRIPHARMA INC
Active
Other names
Live Well Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GARLAND (MANAGER)
(479) 271-9355
Entity
Organization
Contact information
Practice address
3380 N WIMBERLY DR., STE 3, FAYETTEVILLE, AR 72703
(479) 527-9355
(479) 527-6454
Mailing address
PO BOX 1095, GRAVETTE, AR 72736-1095
(479) 271-9355
(479) 271-9357
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251937407
—
AR
Enumeration date
01/17/2020
Last updated
02/07/2024
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