MEDICARE: LIVEWELL INTERNATIONAL HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235731498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVEWELL INTERNATIONAL HEALTH, INC.

Provider Business Mailing Address
First Line	:	3044 OLD DENTON RD STE 305
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-5017
Country	:	US
Telephone Number	:	469-599-4242
Fax Number	:	469-809-8282

Provider Business Practice Location Address
First Line	:	3044 OLD DENTON RD STE 305
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-5017
Country	:	US
Telephone Number	:	469-599-4242
Fax Number	:	469-809-8282

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID LEE
Credential	:	PHARM.D.
Telephone Number	:	469-599-4242

Provider Enumeration Date	:	11/12/2020
Last Update Date	:	04/27/2026

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Directions to “LIVEWELL INTERNATIONAL HEALTH, INC. ” Practice Location

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