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
- City
- West New York
- State
- New Jersey
- 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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