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LIFE TREE PHARMACY SERVICES INCORPORATED

Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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Contact Information

LIFE TREE PHARMACY SERVICES INCORPORATED
5 BLUE HERON DR
COLLEGEVILLE, PA  19426-2057
 Phone: 610-489-6640
 Fax: 610-489-6645
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

 3336L0003X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

 3336C0004X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

 3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

 333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LIFE TREE PHARMACY SERVICES INCORPORATED

NPI Number 1760428684
LBN Legal business name LIFE TREE PHARMACY SERVICES INCORPORATED
Authorized official MARK TAGLIANETTI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2006
Last updated 07/17/2019 - About 7 years ago
Identifiers
PA License # PP481454
PA Medicaid 1013015200001
Other 2085292 PK
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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