Organization
LW PHARMACEUTICALS INC
Active
Other names
Life Well Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP BLAKE MUSICK PHARMD (SHAREHOLDER)
(276) 591-7035
Entity
Organization
Contact information
Practice address
1325 BONHAM RD, BRISTOL, VA 24202-6012
(276) 285-3390
(276) 285-3391
Mailing address
288 LAUREL CYN, JOHNSON CITY, TN 37615-4726
(276) 591-7035
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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