Organization
LIFELINE PHARMACY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIA KHAN (PRESIDENT)
(845) 314-0270
Entity
Organization
Contact information
Practice address
1807 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
(845) 314-0270
(845) 314-0245
Mailing address
1807 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
(845) 314-0270
(845) 314-0245
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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