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NPI Code Detail

MEDICARE: LIFE SCIENCE PHARMACY INC.

MEDICARE: LIFE SCIENCE PHARMACY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835N1003XNutrition Support Pharmacist030700NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801962287
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE SCIENCE PHARMACY INC.
Provider Business Mailing Address
First Line : 144 ROUTE 17M
Second Line :
City : HARRIMAN
State : NY
Zip : 10926-3329
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 144 ROUTE 17M
Second Line :
City : HARRIMAN
State : NY
Zip : 10926-3329
Country : US
Telephone Number : 845-781-7613
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : SCOTT BERLINER
Credential :
Telephone Number : 845-781-7613
Provider Enumeration Date : 11/28/2006
Last Update Date : 08/22/2020

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Directions to “LIFE SCIENCE PHARMACY INC. ” Practice Location

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