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Organization
LIFESPAN PHARMACY, LLC
Active
Organization
LIFESPAN PHARMACY, LLC
Active
Other names
Brown University Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
200 CORLISS ST STE 2A, PROVIDENCE, RI 02904-2602
(401) 606-3500
(401) 606-3599
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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