<Unavail>

LBN: Lifecare Specialty
<Unavail> is an health care organization with primary practice located at 1646 Sunrise Place Ste B , West Jordan UT 84084. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Lifecare Specialty can be contacted via phone (801) 676-0078, or through Nixon, Tyler L via phone (801) 676-0078.

Contact Information

Primary practice address
1646 Sunrise Place Ste B West Jordan UT 84084
Phone: (801) 676-0078
Fax: (801) 676-0079
Website:
Map and Directions
Authorized official contact:
Name: Nixon, Tyler L RPH
Phone: (801) 676-0078

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X 8473547-1704 Utah
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X 84735471704 Utah

Profile Details

NPI number 1659612737
LBN Legal business name Lifecare Specialty
DBA Doing business as <Unavail>
Authorized official Nixon, Tyler L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2013
Last updated Jun 7th, 2018 - about 8 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 1659612737 NPPES
Other 4612481 NCPDP PROVIDER IDENTIFICATION NUMBER

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