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Go Live Well Pharmacy LLC

Debarred entity
TypeCompany[sources]
NameGo Live Well Pharmacy LLC · Go Live Well Pharmacy, LLC[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionState license type / number: Pharmacy / 5018[sources]
NPI1649790718[sources]
Registration numbernot available[sources]
SectorPharmacy[sources]
Address13035 Olive Blvd, Ste 210, Creve Coeur, MO 63141-6179[sources]
Last changeLast processedFirst seen

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Data sources

US West Virginia Medicaid Provider Exclusions and Terminations306

Medicaid providers sanctioned in West Virginia's Medicaid program.

United States · MMIS

US Iowa Medicaid Terminated Provider List944

This dataset contains a list of providers who have been terminated for cause from Iowa's Medicaid program.

United States · HHS


Source data IDs: us-media-5445339beb8ea03ab2d20454359de04cecb28734 · us-medwv-a8c59f8e25bed84a1fe4c4efa9b763442c6c8cbc

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