Organization
LIFE WELL PHARMACY, LLC
Active
Other names
Life Well Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BLAKE MUSICK PHARMD (OWNER/AUTHORIZED OFFICIAL)
(276) 591-7035
Entity
Organization
Contact information
Practice address
2408 SUSANNAH ST STE 3, JOHNSON CITY, TN 37601-1765
(877) 338-0118
(423) 268-2011
Mailing address
288 LAUREL CYN, JOHNSON CITY, TN 37615-4726
(877) 338-0118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
11/22/2021
Last updated
08/26/2025
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