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Contact Information

HEALTHY LIVING PHARMACY
3717 N. SHARON AMITY ROAD
SUITE C
CHARLOTTE, NC28205
 Phone: 980-819-5648
 Fax: 980-819-5673
 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 LIVING PHARMACY

NPI # 1821631672
LBN Legal business name HEALTHY LIVING PHARMACY
Authorized official MIHRETEAB TEWOLDE TEWOLDE - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2019
Last updated 10/01/2020 - About 6 years ago
Identifiers
NC Medicaid 1821631672
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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