| NPI | 1982244745 |
|---|---|
| Doing Business As | LIFE TREE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK FRANCIS TAGLIANETTI CEO 484-973-6805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |