Organization
MYLYFE LLC
Active
Parent organization
BIOMATRIX SPECIALTY PHARMACY, LLC
Other names
Mylyfe Pharmacy, LUX Infusion 12
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIOMATRIX SPECIALTY PHARMACY, LLC
Authorized official
EDWARD P KRAMM (CHIEF EXECUTIVE OFFICER)
(913) 515-6719
Entity
Organization
Contact information
Practice address
31 MOODY RD, ENFIELD, CT 06082-3101
(844) 469-5933
Mailing address
PO BOX 931507, ATLANTA, GA 31193-1507
(844) 469-5933
(855) 361-0104
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679035315
—
CT
Enumeration date
04/02/2019
Last updated
05/16/2026
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