Organization
LIFETIME PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN FAKIH PHARMD (OWNER)
(313) 828-2794
Entity
Organization
Contact information
Practice address
212 W EDISON RD STE A, MISHAWAKA, IN 46545-8301
(313) 828-2794
Mailing address
212 W EDISON RD STE A, MISHAWAKA, IN 46545-8301
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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