# SARAH BUSH LINCOLN HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SARAH BUSH LINCOLN HEALTH CENTER
- **Other names:** PRAIRIE MEDICAL PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316683410
- **Legal business name:** SARAH BUSH LINCOLN HEALTH CENTER
- **Authorized official:** JENNIFER D MUELLER-CLIFTON PHARM D (SPECIALTY PHARMACIST)
- **Authorized official phone:** (217) 258-4105

## Contact information

- **Practice address:** 1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
- **Practice address phone:** (217) 258-4105
- **Practice address fax:** (217) 258-4095
- **Mailing address:** 1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
- **Mailing address phone:** (217) 258-4105
- **Mailing address fax:** (217) 258-4095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2022
- **Last updated:** 05/12/2022