OrganizationActive
Lifeline Rx LLC
NPI 1467018952 · Home Infusion Therapy Pharmacy · West New York, NJ
Provider details
- NPI number
- 1467018952
- Entity type
- Organization
- Primary specialty
- Home Infusion Therapy PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Malkiyel Davydov, Managing Member(201) 624-8015
Specialties & taxonomies
Suppliers
Practice location
5408 Park Ave
West New York, NJ 07093-3517
Phone: (201) 624-8015
Fax: (201) 624-8016
Approximate (ZIP-level) locationGet directions
Mailing address
5408 Park Ave
West New York, NJ 07093-3517
Registry dates
- Enumerated
- 2019-05-10
- Last updated
- 2019-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.