Organization · Type 2 NPI

Life Tree Pharmacy Services Incorporated

Long Term Care Pharmacy · Collegeville, PA

NPI number 1760428684 Active

Practice location

5 Blue Heron Dr
Collegeville, PA 19426-2057

Fax (610) 489-6645

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed
Compounding Pharmacy	3336C0004X	None listed
Institutional Pharmacy	3336I0012X	None listed
Long Term Care Pharmacy Primary	3336L0003X	PP481454 (PA)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

7 other providers at this address

NPI record

NPI: 1760428684
Entity type: Organization (Type 2)
Issued: Jun 20, 2006
Last updated: Jul 17, 2019
Status: Active

Other names

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Life Tree Pharmacy Services Incorporated · doing business as
Life Tree Pharmacy Services Incorporated · doing business as

Authorized official

Mark Taglianetti
President
(610) 489-6640

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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 1760428684

Life Tree Pharmacy Services Incorporated's National Provider Identifier is 1760428684, issued on Jun 20, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Collegeville, PA. The record was last updated on Jul 17, 2019.