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1104300862
LIFESMART PHARMACY LLC
LINCOLN PARK, MI
NPI
1104300862
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Entity Type
Organization
Authorized Contact
ADHAM MALLAH
Owner/President
313-478-7823
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date
2018-09-19
Last Update Date
2023-09-08
Business Address
LIFESMART PHARMACY LLC
2176 FORT ST
LINCOLN PARK, MI 48146-2405
Phone number: 313-768-5858
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Mailing Address
LIFESMART PHARMACY LLC
2176 FORT ST
LINCOLN PARK, MI 48146-2405
Phone number: 313-768-5096
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