Organization
LIFEOUTCOMES.COM INC.
Active
Other names
LIFEOUTCOMES HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MICHAEL BLAKELY PHARMACIST (VP & COO)
(803) 791-5098
Entity
Organization
Contact information
Practice address
104 CORPORATE BLVD, SUITE 410, WEST COLUMBIA, SC 29169-4600
(803) 791-5098
(803) 791-9669
Mailing address
104 CORPORATE BLVD, SUITE 410, WEST COLUMBIA, SC 29169-4600
(803) 791-5098
(803) 791-9669
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50007198
SC
Other
Enumeration date
03/08/2006
Last updated
08/22/2020
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