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Organization
SOUTHERN PHARMACEUTICAL CORPORATION
Active
Organization
SOUTHERN PHARMACEUTICAL CORPORATION
Active
Other names
Quipt Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J CRAWFORD (PRESIDENT)
(859) 441-8876
Entity
Organization
Contact information
Practice address
7458 DOGWOOD PARK DR, RICHLAND HILLS, TX 76118-6470
(826) 348-1100
(682) 348-1102
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
(859) 441-8876
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
14931/11.1
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
10/04/2006
Last updated
09/16/2024
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