Organization
THE LIVING WELL PHCY INC
Active
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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