Organization
LIFELINE PHARMACY 1 LLC
Active
Other names
Lifeline Pharmacy 1
Organization subpart
No
Provider details
NPI number
Authorized official
MOBEEN AHMED (MANAGING MEMBER)
(845) 283-7474
Entity
Organization
Contact information
Practice address
2500 W TRENTON ROAD, SUITE 12, EDINBURG, TX 78539
(956) 255-5515
Mailing address
3551 OVIEDO, BROWNSVILLE, TX 78520-5057
(845) 283-7474
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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