| NPI | 1154719128 |
|---|---|
| Doing Business As | LIFE TREE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK TAGLIANETTI CEO 610-489-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: PA PP482533) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2019-07-17 |