Provider Demographics
NPI:1710711965
Name:LIFEMD PHARMACY SERVICES, LLC
Entity type:Organization
Organization Name:LIFEMD PHARMACY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WOMACK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:520-275-7559
Mailing Address - Street 1:499 RUNNING PUMP RD STE 106
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2225
Mailing Address - Country:US
Mailing Address - Phone:801-501-2975
Mailing Address - Fax:
Practice Address - Street 1:499 RUNNING PUMP RD STE 106
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2225
Practice Address - Country:US
Practice Address - Phone:801-501-2975
Practice Address - Fax:717-902-5382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy