Lifespan Pharmacy

LBN: Lifespan Pharmacy, Llc
Lifespan Pharmacy is an health care organization with primary practice located at 593 Eddy St Davol Building, Providence RI 02903-4923. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lifespan Pharmacy, Llc can be contacted via phone (401) 444-4909, or through Markel, Peter K via phone (401) 444-7914.

Contact Information

Primary practice address
593 Eddy St Davol Building Providence RI 02903-4923
Phone: (401) 444-4909
Fax: (401) 444-2263
Website:
Map and Directions
Authorized official contact:
Name: Markel, Peter K
Phone: (401) 444-7914

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHA00549 Rhode Island
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1154668077
LBN Legal business name Lifespan Pharmacy, Llc
DBA Doing business as Lifespan Pharmacy
Authorized official Markel, Peter K
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2013
Last updated Apr 20th, 2023 - about last year

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 1154668077 NPPES
Massachusetts MEDICAID 110066635C
Massachusetts Other 2138499
Massachusetts Other 2138499
Massachusetts MEDICAID LI92510

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