Organization
LIVEWELL PHARMACY INC
Active
Other names
LIVEWELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALID M CHAUDHARY (PIC)
(347) 843-8562
Entity
Organization
Contact information
Practice address
1432 E GUN HILL RD, BRONX, NY 10469-3061
(347) 843-8562
(347) 843-8565
Mailing address
1432 E GUN HILL RD, BRONX, NY 10469-3061
(347) 843-8562
(347) 843-8565
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06077178
—
NY
Enumeration date
10/31/2019
Last updated
03/31/2022
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