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Organization
LL PHARMA INC
Active
Organization
LL PHARMA INC
Active
Other names
LIFELINE RX
Organization subpart
No
Provider details
NPI number
Authorized official
KIRAN K CHENNA (PRESIDENT)
(551) 998-2115
Entity
Organization
Contact information
Practice address
9252 KENNEDY BLVD UNIT 3, NORTH BERGEN, NJ 07047-9300
(201) 624-8015
(201) 624-8016
Mailing address
9252 KENNEDY BLVD UNIT 3, NORTH BERGEN, NJ 07047-9300
(201) 624-8015
(201) 624-8016
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00737000
NJ
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
11/11/2014
Last updated
05/22/2025
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