OrganizationActive
Lifespan Pharmacy, LLC
NPI 1174321764 · Infusion Therapy Clinic/Center · Providence, RI
Provider details
- NPI number
- 1174321764
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Markell, Evp & Cfo(401) 444-7914
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Infusion Agency251F00000X
Agencies
Practice location
148 W River St Ste 2b
Providence, RI 02904-2615
Phone: (401) 793-7650
Fax: (401) 519-2981
Approximate (ZIP-level) locationGet directions
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Other names (DBA / former)
- Doing business as
- Brown University Health Pharmacy
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.