NPI | 1659612737 |
---|---|
Doing Business As | LIFECARE SPECIALTY |
Entity Type | Organization |
Authorized Contact | TYLER L NIXON Owner 801-676-0078 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: UT 8473547-1704) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy (Licence: UT 84735471704) | |
Enumeration Date | 2013-03-14 |
Last Update Date | 2018-06-07 |