NPI 1104300862

Lifesmart Pharmacy LLC

Organisation Community/Retail Pharmacy Lincoln Park, MI

Practice location

Address: 2176 Fort St, Lincoln Park, MI 48146-2405
Phone: (313) 768-5858
Fax: (313) 768-5868

Authorised official

Name: Adham Mallah
Title: Owner/President
Phone: (313) 478-7823

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X

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Registry record

NPI: 1104300862
Entity type: Organization
NPI issued: 19 Sep 2018
Record last updated: 8 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.