Live Well Pharmacy

LBN: Live Well Pharmacy Inc
Live Well Pharmacy is an health care organization with primary practice located at 23411 John R Rd , Hazel Park MI 48030-1404. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Live Well Pharmacy Inc can be contacted via phone (248) 381-4000, or through Meram, Noora via phone (248) 381-4000.

Contact Information

Primary practice address
23411 John R Rd Hazel Park MI 48030-1404
Phone: (248) 381-4000
Fax: (248) 381-4046
Website:
Map and Directions
Authorized official contact:
Name: Meram, Noora B.SC. PHARMACY
Phone: (248) 381-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301010026 Michigan

Profile Details

NPI number 1043569338
LBN Legal business name Live Well Pharmacy Inc
DBA Doing business as Live Well Pharmacy
Authorized official Meram, Noora B.SC. PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2012
Last updated Mar 1st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043569338 NPPES
Other 2138523 PK
MEDICAID 1043569338 PK

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