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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