<Unavail>

LBN: Lifeline Pharmacy, Inc
<Unavail> is an health care organization with primary practice located at 455 E Main St Ste 4 , East Dundee IL 60118-1523. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Lifeline Pharmacy, Inc can be contacted via phone (847) 450-0900, or through Manek, Shital via phone (630) 777-7800.

Contact Information

Primary practice address
455 E Main St Ste 4 East Dundee IL 60118-1523
Phone: (847) 450-0900
Fax: (847) 450-0920
Website:
Map and Directions
Authorized official contact:
Name: Manek, Shital
Phone: (630) 777-7800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 054020245 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1508391343
LBN Legal business name Lifeline Pharmacy, Inc
DBA Doing business as <Unavail>
Authorized official Manek, Shital
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2017
Last updated May 1st, 2017 - about 9 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 1508391343 NPPES
Other 2169083 PK

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