Lifespan Pharmacy
LBN: Lifespan Pharmacy Inc
Lifespan Pharmacy is an health care organization with primary practice located at 1341 W Mockingbird Ln Suite 304W, Dallas TX 75247. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty.
Lifespan Pharmacy Inc can be contacted via phone (214) 220-0007, or through Renna, Gina via phone (214) 303-1888.
Contact Information
Primary practice address
1341 W Mockingbird Ln Suite 304W
Dallas TX 75247
Phone: (214) 220-0007
Fax: (214) 220-2850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Pharmacy | 333600000X | Texas | |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 24217 | Texas |
| Suppliers / Specialty Pharmacy | 3336S0011X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X | Texas |
Profile Details
| NPI number | 1477725398 |
|---|---|
| LBN Legal business name | Lifespan Pharmacy Inc |
| DBA Doing business as | Lifespan Pharmacy |
| Authorized official | Renna, Gina PHARMACIST |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Aug 16th, 2018 - about 6 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 | 1477725398 | NPPES |
| Other | 4525688 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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