NPI | 1962591875 |
---|---|
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 PH29882) |
Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
333600000X Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 014289) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2016-08-31 |