# HOME MEDIX LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780319293
- **Authorized official:** LYNN ELTON CONNELLY PHARMD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (803) 791-7043

## Contact information

- **Practice address:** 1302 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
- **Practice address phone:** (803) 791-7043
- **Practice address fax:** (803) 796-1519
- **Mailing address:** 1302 SUNSET BLVD, WEST COLUMBIA, SC 29169-5914
- **Mailing address phone:** (803) 791-7043
- **Mailing address fax:** (803) 796-1519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/19/2022
- **Last updated:** 07/19/2022
