Organization
LIFEMED PHARMACY LLC
Active
Other names
LifeMed Pharmacy of Rochester
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MAYA (CEO)
(847) 350-3446
Entity
Organization
Contact information
Practice address
1249 RIDGEWAY AVE STE Q, ROCHESTER, NY 14615-3761
(847) 350-3446
(954) 748-1170
Mailing address
4577 N NOB HILL RAAD, SUITE 209, SUNRISE, FL 33351
(847) 350-3446
(954) 748-1170
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
031504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136176
PK
—
Enumeration date
07/11/2012
Last updated
09/09/2015
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