Lifespan Pharmacy, LLC
Pharmacy, Community/Retail Pharmacy in Providence, Rhode Island
1154668077- Practice location
- 593 Eddy St, Davol Building, Providence, RI 02903-4923
- Phone
- 401-444-4909
- Fax
- 401-444-2263
- Last updated
- September 24, 2024
Lifespan Pharmacy, LLC is a healthcare organization based in Providence, RI. Lifespan Pharmacy, LLC practices in Providence, RI. The NPI Number for Lifespan Pharmacy, LLC is 1154668077 and holds a License No. PHA00549 (RI). The current practice location address for Lifespan Pharmacy, LLC is 593 Eddy St, Davol Building, Providence, RI 02903-4923 and can be reached out via phone at 401-444-4909 and via fax at 401-444-2263.
Provider Profile Details
- NPI Number
- 1154668077
- Provider Name
- Lifespan Pharmacy, LLC
- Provider Entity Type
- Organization
- Address
- 593 Eddy St, Davol Building, Providence, RI 02903-4923
- Phone Number
- 401-444-4909
- Fax Number
- 401-444-2263
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Peter K Markel · Evp & Cfo · 401-444-7914
- Other Names
- Brown University Health Pharmacy (Doing Business As)
Lifespan Pharmacy (Doing Business As) - Provider Enumeration Date
- January 11, 2013
- Last Update Date
- September 24, 2024
- Certification Date
- September 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy St
Davol Building
Providence, RI 02903-4923 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-4923
- Phone Number
- 401-444-4909
- Fax Number
- 401-444-2263
Provider Business Mailing Address Details
- Address
- 593 Eddy St
Davol Building
Providence, RI 02903-4923 - City
- Providence
- State
- RI
- Zip
- 02903-4923
- Phone Number
- 401-444-4909
- Fax Number
- 401-444-2263
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy · 333600000X
- License Number (3)
- PHA00549
- License State (3)
- RI
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
- Taxonomy (4)
- Pharmacy, Specialty Pharmacy · 3336S0011X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lifespan Pharmacy, LLC?
The NPI number of Lifespan Pharmacy, LLC is 1154668077. It was assigned on January 11, 2013 and is currently active in the NPPES registry.
What is the specialty of Lifespan Pharmacy, LLC?
Lifespan Pharmacy, LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in RI under license number PHA00549.
Where does Lifespan Pharmacy, LLC practice?
The practice location is 593 Eddy St, Davol Building, Providence, RI 02903-4923. The office can be reached at 401-444-4909 (phone) or 401-444-2263 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154668077 directly on the NPPES registry website.