Organization · Type 2 NPI

Lifespan Pharmacy, LLC

Infusion Therapy Clinic/Center · Providence, RI

NPI number 1174321764 Active

Practice location

148 W River St Ste 2B
Providence, RI 02904-2615

Fax (401) 519-2981

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Specialties and licenses

TaxonomyCodeLicense
Home Infusion Agency 251F00000XNone listed
Infusion Therapy Clinic/Center Primary 261QI0500XNone listed

Infusion Therapy Clinic/Center: Definition to come...

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About NPI 1174321764

Lifespan Pharmacy, LLC's National Provider Identifier is 1174321764, issued on Mar 7, 2025. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Providence, RI. The record was last updated on Feb 11, 2026.