Organization
LIVE WELL PHARMACY LLC
Active
Other names
JOE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HARI KRISHNA CHINTAPALLI RPH (OFFICER)
(305) 781-2454
Entity
Organization
Contact information
Practice address
4200 STUART ST, GREENVILLE, TX 75401-5759
(903) 259-6797
(903) 259-6689
Mailing address
4200 STUART ST, GREENVILLE, TX 75401-5759
(903) 259-6797
(903) 259-6689
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32700
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
08/07/2019
Last updated
02/02/2021
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