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LIFE SPECIALTY PHARMACY MEDICAL EQUIPMENT AND SUPPLIES INC.

Suppliers Pharmacy Clinic Pharmacy

Provider NPI: 1659441624

Organization Information:
Organization Name:  LIFE SPECIALTY PHARMACY MEDICAL EQUIPMENT AND SUPPLIES INC.
Organization is not Subpart
Authorized Official:  MICHAEL  AYOTUNDE  PRESIDENT OWNER  407-522-5683

Practice Location:
1507 PARK CENTER DRIVE SUITE 1K ORLANDO, FL 32835-5795 US
Tel: 407-405-0735  Fax: 407-522-5684

Business Mailing Address:
1507 PARK CENTER DRIVE SUITE 1K ORLANDO, FL 32835-5795 US
Tel: 407-522-5683  Fax: 407-522-5684

NPI Information:
NPI: 1659441624
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
FLPH 22346
N3336C0004XSuppliers
Pharmacy
FLPH 22346
N3336H0001XSuppliers
Pharmacy
FLPH 22346
N3336I0012XSuppliers
Pharmacy
FLPH 22346
N3336L0003XSuppliers
Pharmacy
FLPH 22346
N3336M0002XSuppliers
Pharmacy
FLPH 22346
Y333600000XSuppliers
Pharmacy
FLPH 22346

Other Provider Identifiers:

IssuerNumberStateType
031807800FL05
NPI1659441624FL01



American Medical Association 2012 taxonomy code information

Code: 333600000X

Type:

Classification:



Definition:



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