| NPI | 1063650612 |
|---|---|
| Doing Business As | LIFE SPECIALTY PHARMACY, INC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL AYOTUNDE Pharmacist 407-522-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH23699) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-04-29 |