Good Life Apothecary, Inc

LBN: Good Life Apothecary, Inc
Good Life Apothecary, Inc is an health care organization with primary practice located at 3212 Penn Ave # 8 , Charleston WV 25302-4537. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Good Life Apothecary, Inc can be contacted via phone (304) 345-8600, or through Good, Patrick via phone (304) 552-8765.

Contact Information

Primary practice address
3212 Penn Ave # 8 Charleston WV 25302-4537
Phone: (304) 345-8600
Fax: (304) 345-8602
Website:
Map and Directions
Authorized official contact:
Name: Good, Patrick
Phone: (304) 552-8765

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1720495401
LBN Legal business name Good Life Apothecary, Inc
DBA Doing business as
Authorized official Good, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2014
Last updated Mar 2nd, 2020 - about 6 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 1720495401 NPPES
West Virginia MEDICAID 3910006007

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