| NPI | 1922075985 |
|---|---|
| Other Name | LIFEOUTCOMES HOME PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES MICHAEL BLAKELY VP & COO 803-791-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 50007198) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |