Organization
SOUTHERN PHARMACEUTICAL CORPORATION
Active
Other names
Quipt Home Medical Columbus
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J CRAWFORD (PRESIDENT)
(859) 441-8876
Entity
Organization
Contact information
Practice address
10501 ROAD 375, PHILADELPHIA, MS 39350
(601) 650-9699
(601) 650-9262
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)
Primary
05830/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07533263
—
MS
Enumeration date
10/03/2006
Last updated
09/16/2024
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