| NPI | 1982639530 |
|---|---|
| Doing Business As | LIFELINE INFUSION SVCS INC |
| Entity Type | Organization |
| Authorized Contact | RUSSELL MARTIN Secretary/Treasurer 631-472-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NY 021626) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-08-15 |