Organization
THE LIVING WELL PHCY INC
Active
Other names
HNP PHARMACEUTICALS
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN BRAVO PHARM.D. (PIC)
(310) 783-7450
Entity
Organization
Contact information
Practice address
381 VAN NESS AVE STE 1507, TORRANCE, CA 90501-7220
(310) 783-7450
(310) 783-7459
Mailing address
381 VAN NESS AVE STE 1507, TORRANCE, CA 90501-7220
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY42160
CA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0573964
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
10/15/2008
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