Organization · Type 2 NPI

Lifeline Pharmacy Incorporated

Pharmacy · Staten Island, NY

NPI number 1962244657 Active

Practice location

1807 Victory Blvd
Staten Island, NY 10314-3515

Fax (718) 304-2231

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1962244657

Lifeline Pharmacy Incorporated's National Provider Identifier is 1962244657, issued on Jun 12, 2024. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 16, 2026.