| NPI | 1891385191 |
|---|---|
| Other Name | LIFE MASS IMMUNIZATION |
| Entity Type | Organization |
| Authorized Contact | RACHEL BURCH HARRACKSINGH President 915-772-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |