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Contact Information

LIFESPAN PHARMACY, LLC
11 FRIENDSHIP STREET
SHEFFIELD BLDG., 1ST FLOOR
NEWPORT, RI02840-0284
 Phone: 401-845-1100
 Fax: 401-845-1111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for LIFESPAN PHARMACY, LLC

NPI Number 1104410935
LBN Legal business name LIFESPAN PHARMACY, LLC
Authorized official PETER MARKELL - (EVP & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/23/2021
Last updated 09/24/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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