LIFE WELL PHARMACY LLC NPI 1316604515

NPI Information

  • NPI: 1316604515
  • Provider Name: LIFE WELL PHARMACY, LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • :
  • Address: 2408 SUSANNAH ST STE 3
    JOHNSON CITY, TN
    ZIP 37601
  • Phone: (877) 338-0118

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NPI Details

LIFE WELL PHARMACY, LLC is a multi-specialty clinic center in Johnson City, TN. LIFE WELL PHARMACY, LLC NPI is 1316604515. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2408 SUSANNAH ST STE 3
JOHNSON CITY, TN
ZIP 37601-765
Phone: (877) 338-0118
Fax: (423) 268-2011

The provider's authorized official is Philip Blake Musick .
The authorized official title is Owner/authorized Official and has the following contact phone number (276) 591-7035.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 8/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
23336C0002XPharmacyClinic PharmacyNo
3261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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