Organization
LIFELINE PHARMACY, INC
Active
Other names
Lifeline Pharmacy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SHITAL MANEK (OWNER)
(630) 777-7800
Entity
Organization
Contact information
Practice address
455 E MAIN ST STE 4, EAST DUNDEE, IL 60118-1523
(847) 450-0900
(847) 450-0920
Mailing address
455 E MAIN ST STE 4, EAST DUNDEE, IL 60118-1523
(847) 450-0900
(847) 450-0920
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
054020245
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169083
PK
—
Enumeration date
05/01/2017
Last updated
05/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us