Organization
LIFEMED PHARMACY LLC
Active
Other names
LIFEMED PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER THOMAS (CONTROLLER)
(847) 350-3446
Entity
Organization
Contact information
Practice address
447 DOUGHTY BLVD, INWOOD, NY 11096-1345
(847) 350-3446
(954) 748-1170
Mailing address
4577 N NOB HILL RD, #209, SUNRISE, FL 33351-4712
(847) 350-3446
(954) 748-1170
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
0000983
CT
3336L0003X
Long Term Care Pharmacy
028485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2069494
PK
—
05
—
2907904
—
NY
Enumeration date
07/27/2007
Last updated
09/09/2015
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