# SOUTHERN FAMILY MARKETS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHERN FAMILY MARKET
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336232792
- **Authorized official:** MARK TOW (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (205) 912-4234

## Contact information

- **Practice address:** 2019 6TH AVE SE, DECATUR, AL 35601-6500
- **Practice address phone:** (256) 353-6303
- **Practice address fax:** (256) 355-5562
- **Mailing address:** PO BOX 8500, LOCKBOX 8531, PHILADELPHIA, PA 19178-8531
- **Mailing address phone:** (256) 353-6303
- **Mailing address fax:** (256) 355-5562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 110752 | AL | Yes |

## Other

- **Enumeration date:** 09/30/2006
- **Last updated:** 09/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0133239 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 100003628 | — | AL |