Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | GO LIVE WELL PHARMACY LLC · Go Live Well Pharmacy LLC · Go Live Well Pharmacy, LLC · GoLive Well Pharmacy | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
Description | State license type / number: Pharmacy / 5018 | [sources] | |||
NPI | 1649790718 | [sources] | |||
Registration number | not available | [sources] | |||
Sector | 60-PHARMACY · 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 | Last processed | First seen |
This dataset contains a list of providers who have been terminated for cause from Iowa's Medicaid program.
United States · HHS
Medical providers suspended from Missouri's Medicaid program.
United States · MMAC
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
us-media-5445339beb8ea03ab2d20454359de04cecb28734
· us-medmo-6e41931927964baab457a2b1facc74ca55094e6a
· NK-5NbwrXAoPHGUwLan3bDNxR
· us-medwv-8d27abb565e01d275df924b2dcc1176974952dcd
· us-medoh-43f4801f2209ec035c2e5b3858e018d2a2b7912e
· us-medwv-a8c59f8e25bed84a1fe4c4efa9b763442c6c8cbc
For experts: raw data explorer
OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.
Address | ||
---|---|---|
Full address | Country | |
13035 Olive Blvd, Suite 210, Saint Louis, MO 63141 | United States | |
13035 Olive Blvd, Ste 210, Creve Coeur, MO 63141-6179 | United States |