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
10551 OUTDOOR WAY, SUITE H, BUILDING 2, GULFPORT, MS 39503-4698
(228) 868-9553
(228) 863-4287
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
04334/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04250392
—
MS
Enumeration date
10/02/2006
Last updated
09/16/2024
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