Organization
SARAH BUSH LINCOLN HEALTH CENTER
Active
Parent organization
SARAH BUSH LINCOLN HEALTH CENTER
Other names
PRAIRIE MEDICAL PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SARAH BUSH LINCOLN HEALTH CENTER
Authorized official
JENNIFER D MUELLER-CLIFTON PHARM D (SPECIALTY PHARMACIST)
(217) 258-4105
Entity
Organization
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 258-4105
(217) 258-4095
Mailing address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 258-4105
(217) 258-4095
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/12/2022
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