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

Lifetime Pharmacy, LLC

Organization Compounding Pharmacy · NPI 1831998467

Lifetime Pharmacy, LLC is a Compounding Pharmacy in Mishawaka, Indiana. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

212 W Edison Rd Ste A
Mishawaka, IN 46545-8301
Phone: (574) 318-4195
Fax: (574) 318-4936
Show map & directions

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

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1831998467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hassan Fakih — Owner/Pic · (574) 318-4195
NPI enumeratedMarch 7, 2025
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address19120 Oakmont South Dr, South Bend, IN 46637-3529