| NPI | 1891220075 |
|---|---|
| Doing Business As | LIFECARE PHARMACY CULEBRA |
| Entity Type | Organization |
| Authorized Contact | PREM KALIDINDI Managing Partner 917-769-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31362) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-07-27 |