Organization
NATURAL LIFESTYLES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY WEBB (CEO)
32377437908
Entity
Organization
Contact information
Practice address
2138 W 109TH ST, LOS ANGELES, CA 90047-4609
(323) 743-7908
Mailing address
2138 W 109TH ST, LOS ANGELES, CA 90047-4609
(323) 743-7908
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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