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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