# LIFESPAN PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brown University Health Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548194087
- **Authorized official:** PETER K MARKELL (EVP & CFO)
- **Authorized official phone:** (401) 444-7914

## Contact information

- **Practice address:** 200 CORLISS ST STE 2A, PROVIDENCE, RI 02904-2602
- **Practice address phone:** (401) 606-3500
- **Practice address fax:** (401) 606-3599
- **Mailing address:** 15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
- **Mailing address phone:** (401) 444-6779
- **Mailing address fax:** (401) 444-6912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2026
- **Last updated:** 06/10/2026