Lifesmart Pharmacy LLC
NPI #1104300862 in Lincoln Park, Michigan
Provider Information
- NPI Number
- 1104300862
- Entity Type
- Organization
- Organization Name
- Lifesmart Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 19, 2018
- Last Updated
- Sep 8, 2023
Practice Location
- Address
- 2176 FORT ST
- City
- Lincoln Park
- State
- Michigan
- ZIP Code
- 48146-2405
- Phone
- (313) 768-5858
Authorized Official
- Name
- ADHAM MALLAH
- Title
- OWNER/PRESIDENT
- Phone
- (313) 478-7823
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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