<Unavail>
LBN: Lifespan Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 593 Eddy St Davol Building, Providence RI 02903-4923. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lifespan Pharmacy, Llc can be contacted via phone (401) 444-4909, or through Markel, Peter K via phone (401) 444-7914.
Contact Information
Primary practice address
593 Eddy St Davol Building
Providence RI 02903-4923
Phone: (401) 444-4909
Fax: (401) 444-2263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHA00549 | Rhode Island |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1154668077 |
|---|---|
| LBN Legal business name | Lifespan Pharmacy, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Markel, Peter K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 11th, 2013 |
| Last updated | Sep 24th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154668077 | NPPES |
| Other | 2138499 | PK | |
| MEDICAID | LI92510 | PK | |
| MEDICAID | 110066635C | PK | |
| Other | 2138499 | PK |
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