Organization
LIVE WELL RX LLC
Active
Organization
LIVE WELL RX LLC
Active
Other names
Live Well Pharmacy at Church Ln
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LUU (OWNER)
(484) 466-2359
Entity
Organization
Contact information
Practice address
727 CHURCH LN, YEADON, PA 19050-3502
(484) 466-2359
(484) 466-3650
Mailing address
3811 SCHOOL LN, DREXEL HILL, PA 19026-3113
(610) 626-4549
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482550
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151831
PK
—
Enumeration date
05/07/2015
Last updated
09/21/2015
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