# LIFEMED PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFEMED PHARMACY LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447440250
- **Authorized official:** JENNIFER THOMAS (CONTROLLER)
- **Authorized official phone:** (847) 350-3446

## Contact information

- **Practice address:** 447 DOUGHTY BLVD, INWOOD, NY 11096-1345
- **Practice address phone:** (847) 350-3446
- **Practice address fax:** (954) 748-1170
- **Mailing address:** 4577 N NOB HILL RD, \#209, SUNRISE, FL 33351-4712
- **Mailing address phone:** (847) 350-3446
- **Mailing address fax:** (954) 748-1170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 0000983 | CT | Yes |
| 3336L0003X | Long Term Care Pharmacy | 028485 | NY | — |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 09/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2069494 | PK | — |
| 05 | — | 2907904 | — | NY |