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Organization

LIFE TREE PHARMACY SERVICES INCORPORATED

Active
Other names
Life Tree Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MARK TAGLIANETTI (CEO)
(610) 489-6640
Entity
Organization

Contact information

Practice address
1996 EWINGS MILL RD, CORAOPOLIS, PA 15108-3310
(412) 269-8605
(610) 487-0748
Mailing address
1996 EWINGS MILL RD, CORAOPOLIS, PA 15108-3310
(412) 269-8605
(610) 487-0748

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP482533
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2149471
PK
Enumeration date
12/29/2014
Last updated
07/17/2019
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