| NPI | 1215397385 |
|---|---|
| Doing Business As | LIFEWAY PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | EDMOND ISAAC NGAZAL Director/Pharmacist I/C 443-531-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P07159) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2022-08-11 |