NPI 1215397385
Lifeway Holdings LLC
Practice location
- Address
- 700 Merritt Blvd Suite 1a, Dundalk, MD 21222
- Phone
- (443) 530-3731
- Fax
- (443) 530-3859
Authorised official
- Name
- Edmond Isaac Ngazal
- Title
- Director/Pharmacist I/C
- Phone
- (443) 531-3107
Registered specialties (2)
Community/Retail Pharmacy
Primary
Pharmacy
Registry record
- NPI
- 1215397385
- Entity type
- Organization
- NPI issued
- 2 Mar 2016
- Record last updated
- 11 Aug 2022
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.