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Lifeline Diabetic
Mail Order Pharmacy in Amory, Mississippi
NPI 1518086339

Lifeline Diabetic is a Mail Order Pharmacy based in Amory, MS and is specialized in Mail Order Pharmacy. Lifeline Diabetic practices in Amory, MS. The NPI Number for Lifeline Diabetic is 1518086339 and holds a License No. 08376/02.0 (Mississippi).

The current practice location address for Lifeline Diabetic is 201 3Rd Ave N, Amory, MS and can be reached out via phone at 662-597-9200 and via fax at 888-918-2226.

Location: 201 3Rd Ave N, Amory, MS, 38821-3413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518086339
Provider Name
Lifeline Diabetic
Credential
Provider Entity Type
Organization
Address
201 3Rd Ave N, Amory, MS, 38821-3413
Phone Number
662-597-9200
Fax Number
888-918-2226
Provider Enumeration Date
03/29/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2587977 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
201 3Rd Ave N
City
Amory
State
Mississippi
Zip
38821-3413
Phone Number
662-597-9200
Fax Number
888-918-2226
person
Provider Business Mailing Address Details
Address
201 3Rd Ave N
City
Amory
State
Mississippi
Zip
38821-3413
Phone Number
662-597-9200
Fax Number
888-918-2226
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.
()
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
Mail Order Pharmacy
Taxonomy
3336M0002X
License No.
08376/02.0 (Mississippi)
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
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