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General NPI Number Information
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NPI Number | 1457985970
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Entity Type | Organization
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Legal Business Name | LIFETIME RX LLC
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 255 W LEBANON STE 200A
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City | FRISCO
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State | TX
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Zip | 75036-3411
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Country | US
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Telephone | 469-479-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 255 W LEBANON STE 200
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City | FRISCO
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State | TX
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Zip | 75036-3414
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PIC/OWNER
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Name | MRS. SIREESHA NEKKANTI
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Credential | RPH
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Telephone | 469-479-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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