Lifespan Pharmacy

LBN: Lifespan Pharmacy, Llc
Lifespan Pharmacy is an health care organization with primary practice located at 164 Summit Ave , Providence RI 02906-2853. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lifespan Pharmacy, Llc can be contacted via phone (401) 793-5500, or through Markell, Peter K via phone (401) 444-7914.

Contact Information

Primary practice address
164 Summit Ave Providence RI 02906-2853
Phone: (401) 793-5500
Fax: (401) 793-5601
Website:
Map and Directions
Authorized official contact:
Name: Markell, Peter K
Phone: (401) 444-7914

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHA00565 Rhode Island

Profile Details

NPI number 1295148625
LBN Legal business name Lifespan Pharmacy, Llc
DBA Doing business as Lifespan Pharmacy
Authorized official Markell, Peter K
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2014
Last updated Apr 20th, 2023 - about 3 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 1295148625 NPPES
Rhode Island MEDICAID LI00239
Rhode Island Other 2146592

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