National Provider Identifier
Lifemed Pharmacy LLC
Lifemed Pharmacy LLC is listed in the NPPES registry with a primary specialty of Long Term Care Pharmacy in Rochester, NY and a listed phone number of (847) 350-3446.
Profile Overview
- NPI
- 1467717892
- Provider Type
- Organization
- Primary Specialty
- Long Term Care Pharmacy
- Enumeration Date
- July 11, 2012
- Last Updated
- September 09, 2015
Practice Location
- 1249 Ridgeway Ave Ste Q
- Rochester, NY 14615-3761
Phone: (847) 350-3446
Mailing Address
- 4577 N Nob Hill Raad
- Suite 209
- Sunrise, FL 33351
Specialties
- Long Term Care Pharmacy (3336L0003X)
Full Record
- NPI
- 1467717892
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Lifemed Pharmacy LLC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 4577 N Nob Hill Raad
- Mailing Address Line 2
- Suite 209
- Mailing City
- Sunrise
- Mailing State
- FL
- Mailing ZIP Code
- 33351
- Mailing Country
- US
- Mailing Phone
- (847) 350-3446
- Mailing Fax
- (954) 748-1170
- Practice Street Address
- 1249 Ridgeway Ave Ste Q
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-3761
- Practice Country
- US
- Practice Phone
- (847) 350-3446
- Practice Fax
- (954) 748-1170
- Enumeration Date
- July 11, 2012
- Last Updated
- September 09, 2015
- Authorized Official Last Name
- Maya
- Authorized Official First Name
- David
- Authorized Official Title
- CEO
- Authorized Official Phone
- (847) 350-3446
- Organization Subpart
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Long Term Care Pharmacy (3336L0003X)
- Other Identifiers
- 2136176 (Pk)