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Lifespan Pharmacy, LLC

Home Infusion in Providence, RI. Organization (NPI-2).

NPI number1124867569
StatusActive
Last updated in NPPESSep 24, 2024

Details

NPI
1124867569
Entity type
Organization (NPI-2)
Legal business name
Lifespan Pharmacy, LLC
Organization subpart
No
Enumeration date
May 24, 2024
Certification date
Sep 24, 2024
Last updated
Sep 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251F00000X Home Infusion––Yes

Other names

  • Brown University Health Pharmacy (Doing Business As)

Practice location

117 Chapman St Ste 200
Providence, RI 02905-5400

Phone 401-444-9909 · Fax 401-444-4095

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Phone 401-444-6779 · Fax 401-444-6912

Authorized official

Eva Greenwood
Svp, Finance
4014447914

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