Life Extension Pharmacy Inc
LBN: Life Extension Pharmacy Inc
Life Extension Pharmacy Inc is an health care organization with primary practice located at 5990 N Federal Hwy , Fort Lauderdale FL 33308-2633. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Life Extension Pharmacy Inc can be contacted via phone (877) 877-9700, or through Kamburian, Melanie via phone (954) 202-7729.
Contact Information
Primary practice address
5990 N Federal Hwy
Fort Lauderdale FL 33308-2633
Phone: (877) 877-9700
Fax: (877) 877-9708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH22301 | Florida |
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1467530873 |
|---|---|
| LBN Legal business name | Life Extension Pharmacy Inc |
| DBA Doing business as | Life Extension Pharmacy Inc |
| Authorized official | Kamburian, Melanie PHARMACIST |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Mar 4th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467530873 | NPPES |
| Other | 2007736 | PK |
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