Lifeway Holdings LLC

NPI #1215397385 in Dundalk, Maryland

Provider Information

NPI Number
1215397385
Entity Type
Organization
Organization Name
Lifeway Holdings LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 2, 2016
Last Updated
Aug 11, 2022

Practice Location

Address
700 MERRITT BLVD
Address 2
SUITE 1A
ZIP Code
21222
Phone
(443) 530-3731

Authorized Official

Name
MR. EDMOND ISAAC NGAZAL
Title
DIRECTOR/PHARMACIST I/C
Phone
(443) 531-3107

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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