| NPI | 1841211802 |
|---|---|
| Doing Business As | LIFETIME HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STEPHEN URBANSKI Manager, Pharmacy Services 716-689-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: FL PH29885) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 027323) |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-08-31 |