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Organization
LIFE LINE HEALTH PARTNERS, LLC
Active
Organization
LIFE LINE HEALTH PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE C DANIEL PHARMD (PRESIDENT)
(904) 730-2223
Entity
Organization
Contact information
Practice address
3740 SAINT JOHNS BLUFF RD S, SUITE 3, JACKSONVILLE, FL 32224-2651
(904) 730-2223
(904) 730-2231
Mailing address
3740 SAINT JOHNS BLUFF RD S, SUITE 3, JACKSONVILLE, FL 32224-2651
(904) 730-2223
(904) 730-2231
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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