| NPI | 1164665691 |
|---|---|
| Former Legal Business Name | LIFETIME PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | SUSAN BOURNE Administrator 585-214-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NY 029341) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2021-06-04 |