Lifetime Pharmacy, LLC
Pharmacy, Long Term Care Pharmacy in Mishawaka, IN. Organization (NPI-2).
NPI number1831998467
StatusActive
Last updated in NPPESMar 7, 2025
Details
- NPI
- 1831998467
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifetime Pharmacy, LLC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2025
- Certification date
- Mar 7, 2025
- Last updated
- Mar 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – |
Practice location
212 W Edison Rd Ste AMishawaka, IN 46545-8301
Phone 574-318-4195 · Fax 574-318-4936
Mailing address
19120 Oakmont South DrSouth Bend, IN 46637-3529
Phone 313-828-2794
Authorized official
Hassan Fakih
Owner/Pic
5743184195
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