Lifeline Rx LLC

NPI #1245899855 in West New York, New Jersey

Provider Information

NPI Number
1245899855
Entity Type
Organization
Organization Name
Lifeline Rx LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 7, 2019
Last Updated
Jun 7, 2019

Practice Location

Address
5408 PARK AVE
ZIP Code
07093-3517
Phone
(201) 624-8015

Authorized Official

Name
MALKIYEL DAVYDOV
Title
MANAGING MEMBER
Phone
(201) 624-8015

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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