| NPI | 1912989682 |
|---|---|
| Doing Business As | LIFELINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT FORKOSH PIC 718-259-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 025931) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-02-01 |