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Organization

LIVEWELL PHARMACY LLC

Active
Other names
LIVEWELL PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH ALLEMAN (OWNER/PHARMACIST)
(865) 406-4942
Entity
Organization

Contact information

Practice address
460 MEDICAL PARK DR STE 101, LENOIR CITY, TN 37772-5782
(865) 986-5483
(865) 986-7461
Mailing address
460 MEDICAL PARK DR, SUITE 101, LENOIR CITY, TN 37772-5782
(865) 986-5483
(865) 986-7461

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4824
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4443785
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
11/24/2010
Last updated
08/16/2011
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