Organization
LIFESPAN PHARMACY LLC
Active
Other names
Lifespan Pharmacy, 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
180 CORLISS STREET, SUITE A, PROVIDENCE, RI 02904
(401) 444-4909
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
09/24/2024
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