Life Tree Pharmacy Services Incorporated
Life Tree Pharmacy Services Incorporated is a Pharmacy in Broussard, Louisiana. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
120 Park Center DrBroussard, LA 70518-3605
Phone: (610) 489-6640
Fax: (610) 489-6645
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1124595558 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Taglianetti — Ceo · (610) 489-6640 |
| NPI enumerated | October 24, 2018 |
| Last updated in NPPES | July 17, 2019 |
| Mailing address | 5 Blue Heron Drive, Collegeville, PA 19426-2057 |