Organization · Type 2 NPI

Lifespan Pharmacy LLC

Community/Retail Pharmacy · Providence, RI

NPI number 1144792383 Active

Practice location

180 Corliss Street, Suite A
Providence, RI 02904

Call (401) 444-4909 Map

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1144792383
Entity type: Organization (Type 2)
Issued: Dec 28, 2018
Last updated: Sep 24, 2024
Status: Active

Other names

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Brown University Health Pharmacy · doing business as
Lifespan Pharmacy · doing business as

Authorized official

Peter K Markell
EVP & CFO
(401) 444-7914

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144792383

Lifespan Pharmacy LLC's National Provider Identifier is 1144792383, issued on Dec 28, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Providence, RI. The record was last updated on Sep 24, 2024.