# SOUTHERN FAMILY MARKETS LLC

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

## Provider details

- **NPI number:** 1609969062
- **Authorized official:** MARK TOW (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (205) 912-4234

## Contact information

- **Practice address:** 9020 BAILEY COVE RD SE, HUNTSVILLE, AL 35802-4002
- **Practice address phone:** (256) 882-9250
- **Practice address fax:** (256) 882-2451
- **Mailing address:** PO BOX 8500, LOCKBOX 8531, PHILADELPHIA, PA 19178-8531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 112665 | AL | Yes |

## Other

- **Enumeration date:** 09/30/2006
- **Last updated:** 10/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0133190 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 100003633 | — | AL |