Organization · Type 2 NPI

Lifeway Holdings LLC

Community/Retail Pharmacy · Dundalk, MD

NPI number 1215397385 Active

Practice location

700 Merritt Blvd, Suite 1A
Dundalk, MD 21222

Fax (443) 530-3859

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	P07159 (MD)

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: 1215397385
Entity type: Organization (Type 2)
Issued: Mar 2, 2016
Last updated: Aug 11, 2022
Status: Active

Other names

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Lifeway Pharmacy, LLC · doing business as
Lifeway Pharmacy, LLC · doing business as

Authorized official

Mr. Edmond Isaac Ngazal
Director/pharmacist I/c
(443) 531-3107

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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 1215397385

Lifeway Holdings LLC's National Provider Identifier is 1215397385, issued on Mar 2, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Dundalk, MD. The record was last updated on Aug 11, 2022.