Live Well Pharmacy

LBN: Tripharma Inc
Live Well Pharmacy is an health care organization with primary practice located at 3500 Sw Regional Airport Blvd Ste 2 , Bentonville AR 72712. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tripharma Inc can be contacted via phone (479) 271-9355, or through Lykins, John via phone (479) 770-0111.

Contact Information

Primary practice address
3500 Sw Regional Airport Blvd Ste 2 Bentonville AR 72712
Phone: (479) 271-9355
Fax: (479) 770-0113
Website:
Map and Directions
Authorized official contact:
Name: Lykins, John
Phone: (479) 770-0111

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1609352566
LBN Legal business name Tripharma Inc
DBA Doing business as Live Well Pharmacy
Authorized official Lykins, John
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2018
Last updated Jan 5th, 2022 - about 4 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 1609352566 NPPES
Arkansas MEDICAID 223890407

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