Organization
SOUTHERN FAMILY MARKETS LLC
Active
Other names
Bruno's Food and Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TOW (DIRECTOR OF PHARMACY)
(205) 912-4934
Entity
Organization
Contact information
Practice address
306 S UNIVERSITY BLVD, MOBILE, AL 36609-2909
(251) 342-6595
(251) 342-1409
Mailing address
PO BOX 8500, LOCKBOX 8531, PHILADELPHIA, PA 19178-8531
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
110675
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135980
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/28/2009
Last updated
10/30/2009
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