A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialty Pharmacy |
3336S0011X | 58 | Medical Supply Company with Pharmacist | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1477725398 |
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| LBN Legal business name | LIFESPAN PHARMACY INC | ||||||||
| Authorized official | GINA RENNA - (OWNER/OFFICER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/01/2008 | ||||||||
| Last updated | 08/16/2018 - About 8 years ago | ||||||||
| Identifiers |
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