Lifeway Pharmacy, Llc

LBN: Lifeway Holdings Llc
Lifeway Pharmacy, Llc is an health care organization with primary practice located at 700 Merritt Blvd Suite 1A, Dundalk MD 21222. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lifeway Holdings Llc can be contacted via phone (443) 530-3731, or through Ngazal, Edmond Isaac via phone (443) 531-3107.

Contact Information

Primary practice address
700 Merritt Blvd Suite 1A Dundalk MD 21222
Phone: (443) 530-3731
Fax: (443) 530-3859
Website:
Map and Directions
Authorized official contact:
Name: Ngazal, Edmond Isaac
Phone: (443) 531-3107

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07159 Maryland

Profile Details

NPI number 1215397385
LBN Legal business name Lifeway Holdings Llc
DBA Doing business as Lifeway Pharmacy, Llc
Authorized official Ngazal, Edmond Isaac
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2016
Last updated Aug 11th, 2022 - about 2 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 1215397385 NPPES
Other 2158496 PK

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