Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifesmart Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1104300862

Lifesmart Pharmacy LLC is a Community/Retail Pharmacy in Lincoln Park, Michigan. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2176 Fort St
Lincoln Park, MI 48146-2405
Phone: (313) 768-5858
Fax: (313) 768-5868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1104300862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adham Mallah — Owner/President · (313) 478-7823
NPI enumeratedSeptember 19, 2018
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023
Mailing address2176 Fort St, Lincoln Park, MI 48146-2405

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