| NPI | 1275240780 |
|---|---|
| Doing Business As | LIFELINE PHARMACY 1 |
| Entity Type | Organization |
| Authorized Contact | KEVIN CONCANNON CEO 520-730-7575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |