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Lifespan Pharmacy, Llc
Specialty Pharmacy in Providence, Rhode Island
NPI 1154668077

Lifespan Pharmacy, Llc is a Specialty Pharmacy based in Providence, RI and is specialized in Specialty Pharmacy. Lifespan Pharmacy, Llc practices in Providence, RI. The NPI Number for Lifespan Pharmacy, Llc is 1154668077 and holds a License No. (Rhode Island).

The current practice location address for Lifespan Pharmacy, Llc is 593 Eddy St, Providence, RI and can be reached out via phone at 401-444-4909 and via fax at 401-444-2263.

Location: 593 Eddy St, Providence, RI, 02903-4923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154668077
Provider Name
Lifespan Pharmacy, Llc
Credential
Provider Entity Type
Organization
Address
593 Eddy St, Providence, RI, 02903-4923
Phone Number
401-444-4909
Fax Number
401-444-2263
Provider Enumeration Date
01/11/2013
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2138499 01 PK
LI92510 05 RI
110066635C 05 MA
2138499 01 MA MEDICAID
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
Providence
State
Rhode Island
Zip
02903-4923
Phone Number
401-444-4909
Fax Number
401-444-2263
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
Providence
State
Rhode Island
Zip
02903-4923
Phone Number
401-444-4909
Fax Number
401-444-2263
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHA00549 (Rhode Island)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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