Life Specialty Pharmacy, Inc

LBN: Life Specialty Pharmacy, Inc
Life Specialty Pharmacy, Inc is an health care organization with primary practice located at 1507 Park Center Dr Suite 1L, Orlando FL 32835-5795. The organization recently has 7 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Life Specialty Pharmacy, Inc can be contacted via phone (407) 522-5683, or through Ayotunde, Michael via phone (407) 522-5683.

Contact Information

Primary practice address
1507 Park Center Dr Suite 1L Orlando FL 32835-5795
Phone: (407) 522-5683
Fax: (407) 522-5684
Website:
Map and Directions
Authorized official contact:
Name: Ayotunde, Michael
Phone: (407) 522-5683

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X PH23699 Florida
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1063650612
LBN Legal business name Life Specialty Pharmacy, Inc
DBA Doing business as Life Specialty Pharmacy, Inc
Authorized official Ayotunde, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2009
Last updated Apr 29th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063650612 NPPES
Other 1042009 NCPDP PROVIDER IDENTIFICATION NUMBER

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