| NPI | 1336775527 |
|---|---|
| Doing Business As | LIFELINE PHARMACY 1 |
| Entity Type | Organization |
| Authorized Contact | MOBEEN AHMED Managing Member 845-283-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |