NPI | 1134385453 |
---|---|
Doing Business As | LIFE CONNECTIONS HEALTH CENTER #12570 |
Entity Type | Organization |
Authorized Contact | KIRA TAYLOR Manager 217-709-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY49257) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2008-08-06 |
Last Update Date | 2022-04-04 |