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HOME MEDIX LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN ELTON CONNELLY PHARMD (OWNER/AUTHORIZED OFFICIAL)
(803) 791-7043
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
07/19/2022
Last updated
07/19/2022
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