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Go Live Well Pharmacy LLC

Debarred entity

Go Live Well Pharmacy LLC is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Go Live Well Pharmacy LLC · GoLive Well Pharmacy				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
NPI	`1649790718`				[sources]
Registration number	not available				[sources]
Sector	Pharmacy				[sources]
Address	13035 Olive Blvd, Ste 210, Creve Coeur, MO 63141-6179 · 13035 Olive Blvd, Suite 210, Saint Louis, MO 63141				[sources]
Last change	2024-11-29	Last processed	2024-12-02	First seen	2024-11-12

Address
Full address	Country
13035 Olive Blvd, Ste 210, Creve Coeur, MO 63141-6179	United States
13035 Olive Blvd, Suite 210, Saint Louis, MO 63141	United States

Sanctions
Authority	Program	Start date	End date
Medicaid Management Information System	-	2019-11-28	-
Ohio Department of Medicaid	-	2019-10-17	-

Medicaid providers sanctioned in West Virginia's Medicaid program.

United States · MMIS

Medical providers excluded or suspended from Ohio's Medicaid program.

United States · ODM

Source data IDs: us-medwv-8d27abb565e01d275df924b2dcc1176974952dcd · us-medoh-43f4801f2209ec035c2e5b3858e018d2a2b7912e

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