Organization
LIFELINE PHARMACON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GRIESHEIMER (CEO)
(814) 619-5068
Entity
Organization
Contact information
Practice address
1415 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3217
(814) 619-5068
Mailing address
3159 CARPENTERS PARK RD, DAVIDSVILLE, PA 15928-9223
(814) 619-5068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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