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LIFESTREAM PHARMACY INC NPI 1730308826


NPI Information

NPI: 1730308826
Provider Name: LIFESTREAM PHARMACY INC

Doing Business As: LIFESREAM RX

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
847 EASTON RD
STE 2775
WARRINGTON, PA
ZIP 18976
Phone: (215) 491-0979
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LIFESTREAM PHARMACY INC is a long term care pharmacy pharmacy in Warrington, PA. The provider is 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. LIFESTREAM PHARMACY INC NPI is 1730308826. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifesream Rx.

The provider's business location address is:

847 EASTON RD
STE 2775
WARRINGTON, PA
ZIP 18976-906
Phone: (215) 491-0979
Fax: (215) 491-0977

The provider's authorized official is Demetrios Melekos .
The authorized official title is Owner and has the following contact phone number (215) 491-0979.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 3/24/2017.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPP481713PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12081797OTHERPK
21015654020002MEDICAIDPENNSYLVANIA

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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