# LIFE TREE PHARMACY SERVICES INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Tree Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538975909
- **Authorized official:** MARK FRANCIS TAGLIANETTI (CEO)
- **Authorized official phone:** (610) 489-6640

## Contact information

- **Practice address:** 1450 W MCCOY LN STE B, SANTA MARIA, CA 93455-1059
- **Practice address phone:** (805) 928-2200
- **Practice address fax:** (805) 928-6200
- **Mailing address:** 1450 W MCCOY LN STE B, SANTA MARIA, CA 93455-1059
- **Mailing address phone:** (805) 928-2200
- **Mailing address fax:** (805) 928-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2024
- **Last updated:** 04/24/2025