Organization
LIFELINERX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELLA BENVENISTI (MANAGER)
(561) 740-8455
Entity
Organization
Contact information
Practice address
1489 N MILITARY TRL STE 113, WEST PALM BEACH, FL 33409-6030
(561) 740-8455
Mailing address
1489 N MILITARY TRL STE 113, WEST PALM BEACH, FL 33409-6030
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
09/23/2016
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