Provider Demographics
NPI:1396414199
Name:STEMLYFT PARTNERS LLC
Entity Type:Organization
Organization Name:STEMLYFT PARTNERS LLC
Other - Org Name:STEMLYFT WELLNESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:281-857-6552
Mailing Address - Street 1:2306 RAYFORD RD STE 100B
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1707
Mailing Address - Country:US
Mailing Address - Phone:281-857-6552
Mailing Address - Fax:
Practice Address - Street 1:2306 RAYFORD RD STE 100B
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1707
Practice Address - Country:US
Practice Address - Phone:281-857-6552
Practice Address - Fax:346-444-3496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy