| NPI | 1568975464 |
|---|---|
| Doing Business As | LIFELINE SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAJESHWER REDDY PINGILI President 410-203-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MD pw0513) |
| Additional Taxonomies | 183500000X Pharmacist |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2024-12-17 |