Provider Demographics
NPI:1932586732
Name:LIFE HELP PHARMACY
Entity Type:Organization
Organization Name:LIFE HELP PHARMACY
Other - Org Name:REGION 6 MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:SPENCER
Authorized Official - Last Name:LEFLORE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:662-453-6211
Mailing Address - Street 1:2504 BROWNING ROAD 520
Mailing Address - Street 2:P.O. BOX 1505
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38930-6022
Mailing Address - Country:US
Mailing Address - Phone:662-453-6211
Mailing Address - Fax:662-455-5243
Practice Address - Street 1:2504 BROWNING ROAD 520
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-6022
Practice Address - Country:US
Practice Address - Phone:662-453-6211
Practice Address - Fax:662-455-5243
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFE HELP INDUSTRIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS14313/2.63336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy