| NPI | 1457348641 |
|---|---|
| Doing Business As | LIFEHOUSE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT REYBURN ROBERTS Director Of Pharmacy LLC Member 251-945-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AL 112604) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |