Organization
HEALTHY LIVING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIHRETEAB TEWOLDE TEWOLDE PHARMD (PHARMACY MANAGER)
(319) 341-9008
Entity
Organization
Contact information
Practice address
3717 N. SHARON AMITY ROAD, SUITE C, CHARLOTTE, NC 28205
(980) 819-5648
(980) 819-5673
Mailing address
3717 N. SHARON AMITY RD, SUITE C, CHARLOTTE, NC 28205-5815
(980) 819-5648
(980) 819-5673
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821631672
—
NC
Enumeration date
10/24/2019
Last updated
10/01/2020
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