# LIFE PHARMACY CORP.

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

## Provider details

- **NPI number:** 1225394109
- **Authorized official:** MRS. NOEMI CORTES B.PHARM (PHARMACIST/PRESIDENT)
- **Authorized official phone:** (787) 818-5433

## Contact information

- **Practice address:** CARR. 110 KM 11.2 BO. PUEBLO, MOCA, PR 00676
- **Practice address phone:** (787) 818-5433
- **Mailing address:** 815 CALLE CONCEPCION VERA, MOCA, PR 00676
- **Mailing address phone:** (787) 818-5433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 4877 | PR | — |
| 3336C0003X | Community/Retail Pharmacy | 19-F-3497 | PR | Yes |

## Other

- **Enumeration date:** 04/05/2012
- **Last updated:** 11/20/2017