Southern Family Markets Llc

Overview of Southern Family Markets Llc

• NPI number: 1811534621
• Provider type: Organization
• Specialty: Pharmacy
• Active since: 09/30/2006
• Last updated: 10/30/2009

Primary Scrop of Practice

• Taxonomy Code: 333600000X
• Specialty: Pharmacy
• License Number: unknow
• License State: unknow

Provider Mailing Address

• Address: Po Box 8500
  Lockbox 8531
  Philadelphia, PA 19178
• Phone:
• Fax:

Provider Practice Location

• Address: 505 Bankhead Hwy
  Carrollton, GA 30117
• Phone: 678-796-0605
• Fax: 678-796-0624

Authorized Official

• Name: Mark Tow
• Position/Title: Director Of Pharmacy
• Telephone Number: 205-912-4234

Scope of Practice

• Taxonomy Code: 333600000X
• Specialty: Pharmacy
• License Number:
• License State:
• Switch: No

Legacy Identifiers

• Provider Identifier: 1153460
• Identifier Type: Other
• Identifier State:
• Issuer: NCPDP PROVIDER IDENTIFICATION NUMBER