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Contact Information

HEALTHY LIFE PHARMACY LLC
1013 CEDAR ST
STE B
BISMARCK, MO63624
 Phone: 573-734-8588
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HEALTHY LIFE PHARMACY LLC

NPI Number 1619604154
LBN Legal business name HEALTHY LIFE PHARMACY LLC
Authorized official LAURA HAYNES - (OWNER/OPERATOR/SOLE MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2022
Last updated 08/15/2024 - More than a year ago
Identifiers
Other 1013372952 INDIVIDUAL PROVIDER NPI FOR LAURA HAYNES
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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