# SOUTHERN RX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518054709
- **Authorized official:** RAHUL PATEL (OWNER)
- **Authorized official phone:** (337) 365-1411

## Contact information

- **Practice address:** 1033 ANDRE ST, NEW IBERIA, LA 70563
- **Practice address phone:** (337) 365-1411
- **Practice address fax:** (337) 365-0932
- **Mailing address:** 1033 ANDRE ST, NEW IBERIA, LA 70563-2161
- **Mailing address phone:** (337) 365-1411
- **Mailing address fax:** (337) 365-0932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHY007503IR | LA | — |
| 3336C0003X | Community/Retail Pharmacy | PHY007503IR | LA | Yes |
| 3336C0004X | Compounding Pharmacy | PHY007503IR | LA | — |

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 01/15/2020