| NPI | 1770096281 |
|---|---|
| Doing Business As | LIFELINE RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE FISHER Owner 346-616-5598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: 31437) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |