Organization
UNIVV I INC
Active
Other names
Livewell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL HARKHANI (OWNER/PHARMACIST)
(239) 208-8847
Entity
Organization
Contact information
Practice address
4857 PALM BEACH BLVD STE 1, FORT MYERS, FL 33905-3206
(239) 208-8847
Mailing address
4857 PALM BEACH BLVD, UNIT-1, FORT MYERS, FL 33905-3206
(239) 208-8847
(239) 208-8852
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159368
PK
—
Enumeration date
04/01/2016
Last updated
05/26/2016
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