# LIFELINE INSTITUTIONAL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114117694
- **Authorized official:** MR. WALTER LEE WILLIAMS JR. RPH (PRESIDENT)
- **Authorized official phone:** (513) 746-5800

## Contact information

- **Practice address:** 3699 SYMMES RD, SUITE 1, HAMILTON, OH 45015-1370
- **Practice address phone:** (513) 632-7960
- **Practice address fax:** (513) 874-8000
- **Mailing address:** 3699 SYMMES RD, SUITE 1, HAMILTON, OH 45015-1370
- **Mailing address phone:** (513) 632-7960
- **Mailing address fax:** (513) 874-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 021730800 | OH | Yes |

## Other

- **Enumeration date:** 07/31/2007
- **Last updated:** 01/28/2011