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Organization
LIFE TREE PHARMACY SERVICES INCORPORATED
Active
Organization
LIFE TREE PHARMACY SERVICES INCORPORATED
Active
Other names
Life Tree Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TAGLIANETTI (CEO)
(610) 489-6640
Entity
Organization
Contact information
Practice address
1996 EWINGS MILL RD, CORAOPOLIS, PA 15108-3310
(412) 269-8605
(610) 487-0748
Mailing address
1996 EWINGS MILL RD, CORAOPOLIS, PA 15108-3310
(412) 269-8605
(610) 487-0748
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP482533
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149471
PK
—
Enumeration date
12/29/2014
Last updated
07/17/2019
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