Life Tree Pharmacy Services Incorporated

LBN: Life Tree Pharmacy Services Incorporated
Life Tree Pharmacy Services Incorporated is an health care organization with primary practice located at 5 Blue Heron Dr , Collegeville PA 19426-2057. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Life Tree Pharmacy Services Incorporated can be contacted via phone (610) 489-6640, or through Taglianetti, Mark via phone (610) 489-6640.

Contact Information

Primary practice address
5 Blue Heron Dr Collegeville PA 19426-2057
Phone: (610) 489-6640
Fax: (610) 489-6645
Website:
Map and Directions
Authorized official contact:
Name: Taglianetti, Mark
Phone: (610) 489-6640

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X PP481454 Pennsylvania

Profile Details

NPI number 1760428684
LBN Legal business name Life Tree Pharmacy Services Incorporated
DBA Doing business as Life Tree Pharmacy Services Incorporated
Authorized official Taglianetti, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 17th, 2019 - about 5 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 1760428684 NPPES
Pennsylvania MEDICAID 1013015200001
Pennsylvania Other 2085292

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