| NPI | 1750865416 |
|---|---|
| Doing Business As | LIFESMART RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ADHAM MALLAH Owner/President 313-478-7823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-11-21 |