Organization
LIFE PHARMACY, INC
Active
Other names
Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SILVERMAN (PRESIDENT)
(931) 548-3172
Entity
Organization
Contact information
Practice address
1116 NASHVILLE HWY, STE 108, COLUMBIA, TN 38401-2176
(931) 548-2172
(931) 233-4203
Mailing address
1116 NASHVILLE HWY, STE 108, COLUMBIA, TN 38401-2176
(931) 548-2172
(931) 233-4203
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6294
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177652
PK
—
05
—
N/A
—
TN
Enumeration date
05/12/2018
Last updated
10/01/2018
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