Lifetree Pharmacy, Llc

LBN: Lifetree Pharmacy, Llc
Lifetree Pharmacy, Llc is an health care organization with primary practice located at 15063 Maccorkle Ave., Se , Cabin Creek WV 25035-8047. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Lifetree Pharmacy, Llc can be contacted via phone (304) 595-4900, or through Campbell, Shepardson Willcox via phone (304) 595-4900.

Contact Information

Primary practice address
15063 Maccorkle Ave., Se Cabin Creek WV 25035-8047
Phone: (304) 595-4900
Fax: (304) 595-4652
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Shepardson Willcox RPH
Phone: (304) 595-4900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X SP0552501 West Virginia
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1932573425
LBN Legal business name Lifetree Pharmacy, Llc
DBA Doing business as
Authorized official Campbell, Shepardson Willcox RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2015
Last updated Jul 8th, 2019 - about 7 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 1932573425 NPPES
West Virginia MEDICAID 1932573425
West Virginia Other 2157687

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