Organization
LIVE WELL DRUGSTORE LLC
Active
Organization
LIVE WELL DRUGSTORE LLC
Active
Other names
Bioworx
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TURNER (PHCY MANG)
(904) 531-3030
Entity
Organization
Contact information
Practice address
3516 ENTERPRISE WAY, STE 7 AND 8, GREEN COVE SPRINGS, FL 32043-9319
(904) 531-3030
(904) 531-3060
Mailing address
3516 ENTERPRISE WAY, STE 7 AND 8, GREEN COVE SPRINGS, FL 32043-9319
(904) 531-3030
(904) 531-3060
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011342
PK
—
Enumeration date
04/11/2008
Last updated
02/05/2016
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