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LIFE SPECIALTY PHARMACY, INC
NPI 1063650612
Pharmacy - Compounding Pharmacy in Orlando, FL

Active since February 04, 2009
1507 PARK CENTER DR, SUITE 1L, ORLANDO, FL 32835(407) 522-5683(407) 522-5684 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Specialty Pharmacy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SPECIALTY PHARMACY, INC (NPI 1063650612) is a healthcare organization registered as a compounding pharmacy in Orlando, Florida and active in the NPI registry since February 2009. The organization lists Michael Ayotunde, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1063650612
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameLIFE SPECIALTY PHARMACY, INC
Location Address1507 PARK CENTER DR, SUITE 1LOrlando, FL 32835-5795
Mailing Address1507 Park Center Dr, Suite 1lOrlando, FL 32835-5795
Phone(407) 522-5683
Fax(407) 522-5684
Organization SubpartNo
Authorized OfficialMichael AyotundePharmacist · (407) 522-5683
Enumeration DateFebruary 4, 2009
Last NPPES UpdateApril 29, 2009
✔ NPI 1063650612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in FL · PH23699
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1507 PARK CENTER DR, Orlando, FL 32835
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Other Names 1

Doing Business AsLife Specialty Pharmacy, Inc

Other Identifiers 1

Other1042009Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENTERPRISE INTERNAL MEDICINE LLC
Internal Medicine
1507 PARK CENTER DR, SUITE 1A
ORLANDO, FL 32835
Orange County (407) 808-8763
LIFE WORTH LIVING FOUNDATION
Pharmacist (Geriatric)
1507 PARK CENTER DR, SUITE 1L
ORLANDO, FL 32835
Orange County (407) 522-4154
OPTIMAL HEALTH CHIROPRACTIC LLC
Chiropractor (Occupational Health)
1507 PARK CENTER DR, STE 1A
ORLANDO, FL 32835
Orange County (321) 209-4505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Specialty Pharmacy, Inc's NPI number?

The NPI number for Life Specialty Pharmacy, Inc is 1063650612. It was assigned to this organization in the NPPES registry on February 4, 2009.

Where is Life Specialty Pharmacy, Inc located?

Life Specialty Pharmacy, Inc is located at 1507 Park Center Dr Suite 1L, Orlando, FL 32835. The listed phone number is (407) 522-5683.

What is Life Specialty Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Life Specialty Pharmacy, Inc was last updated on April 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.