<Unavail>

LBN: Living Well Pharmacy #2 Inc
<Unavail> is an health care organization with primary practice located at 824 Gi Maddox Pkwy Suite B, Chatsworth GA 30705-2073. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Living Well Pharmacy #2 Inc can be contacted via phone (706) 517-1901, or through Bryant, Paul Phillip via phone (706) 422-9355.

Contact Information

Primary practice address
824 Gi Maddox Pkwy Suite B Chatsworth GA 30705-2073
Phone: (706) 517-1901
Fax: (706) 517-2541
Website:
Map and Directions
Authorized official contact:
Name: Bryant, Paul Phillip
Phone: (706) 422-9355

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHRE008958 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1396852935
LBN Legal business name Living Well Pharmacy #2 Inc
DBA Doing business as <Unavail>
Authorized official Bryant, Paul Phillip
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Jun 17th, 2025 - about last year

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 1396852935 NPPES
Georgia MEDICAID 411552342A

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