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Life Tree Pharmacy Services INC

Pharmacy in Collegeville, PA. Organization (NPI-2).

NPI number1982244745
StatusActive
Last updated in NPPESJan 9, 2020

Details

NPI
1982244745
Entity type
Organization (NPI-2)
Legal business name
Life Tree Pharmacy Services INC
Organization subpart
No
Enumeration date
Jan 9, 2020
Certification date
Jan 9, 2020
Last updated
Jan 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes

Other names

  • Life Tree Pharmacy (Doing Business As)

Practice location

5 Blue Heron Dr
Collegeville, PA 19426-2057

Phone 484-973-6805

Mailing address

5 Blue Heron Dr
Collegeville, PA 19426-2057

Phone 484-973-6805

Authorized official

Mark Francis Taglianetti
Ceo
4849736805

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