Organization
LIFE WELL PHARMACY, LLC
Active
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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