# LIFELONG PHARMACEUTICALS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** seaway pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790164721
- **Authorized official:** AL ELOUTA (MANAGER)
- **Authorized official phone:** (419) 214-5198

## Contact information

- **Practice address:** 1707 CHERRY ST, TOLEDO, OH 43608-2857
- **Practice address phone:** (419) 214-5197
- **Practice address fax:** (419) 214-5199
- **Mailing address:** 1707 CHERRY ST, TOLEDO, OH 43608-2857
- **Mailing address phone:** (419) 214-5197
- **Mailing address fax:** (419) 214-5199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/24/2016
