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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
11 FRIENDSHIP STREET, SHEFFIELD BLDG., 1ST FLOOR, NEWPORT, RI 02840-0284
(401) 845-1100
(401) 845-1111
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-7914
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
02/23/2021
Last updated
09/24/2024
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