| NPI | 1477725398 |
|---|---|
| Doing Business As | LIFESPAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GINA RENNA Owner/Officer 214-303-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 24217) | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2018-08-16 |