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LIFEWAY PHARMACY LLC NPI 1396015103


NPI Information

NPI: 1396015103
Provider Name: LIFEWAY PHARMACY, LLC
Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
1822 TOWER DR
MONROE, LA
ZIP 71201
Phone: (318) 323-5483
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LIFEWAY PHARMACY, LLC is a pharmacist in Monroe, LA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. LIFEWAY PHARMACY, LLC NPI is 1396015103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1822 TOWER DR
MONROE, LA
ZIP 71201-938
Phone: (318) 323-5483
Fax: (318) 323-5485

The provider's authorized official is Erica Sullivan Ditta .
The authorized official title is Owner/pharmacist In Charge and has the following contact phone number (318) 355-3202.

The enumeration date for this NPI number is 1/10/2012 and was last updated on 1/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist017373LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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