Provider Demographics
NPI:1477825107
Name:LIVE SMART PHARMACY
Entity Type:Organization
Organization Name:LIVE SMART PHARMACY
Other - Org Name:#1 PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-988-0838
Mailing Address - Street 1:6609 W SAM HOUSTON PKWY S STE 98
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-1641
Mailing Address - Country:US
Mailing Address - Phone:713-988-0838
Mailing Address - Fax:
Practice Address - Street 1:6833 W SAM HOUSTON PKWY S STE 106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5252
Practice Address - Country:US
Practice Address - Phone:713-988-0838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy