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Organization
LIFEFILL I, LLC
Active
Organization
LIFEFILL I, LLC
Active
Other names
Novocare
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NAMETH (EVP, CLOUD AND SPECIALTY PHARMACY)
(646) 201-9585
Entity
Organization
Contact information
Practice address
12639 W EXPLORER DR STE 125, BOISE, ID 83713-1887
(866) 898-9368
(855) 251-0222
Mailing address
1407 BROADWAY RM 1910, NEW YORK, NY 10018-2874
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1781728
BOARD OF PHARMACY
ID
Enumeration date
07/21/2026
Last updated
09/09/2026
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