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Organization
SOUTHERN FAMILY MARKETS LLC
Active
Organization
SOUTHERN FAMILY MARKETS LLC
Active
Other names
SOUTHERN FAMILY MARKET
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TOW (DIRECTOR OF PHARMACY)
(205) 912-4234
Entity
Organization
Contact information
Practice address
625 ATHENS TOWN CENTER, ATHENS, AL 35611
(256) 771-7219
(256) 771-7725
Mailing address
PO BOX 8500, LOCKBOX 8531, PHILADELPHIA, PA 19178-8531
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
112667
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133227
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100003629
—
AL
Enumeration date
10/02/2006
Last updated
11/03/2009
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