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
2019 6TH AVE SE, DECATUR, AL 35601-6500
(256) 353-6303
(256) 355-5562
Mailing address
PO BOX 8500, LOCKBOX 8531, PHILADELPHIA, PA 19178-8531
(256) 353-6303
(256) 355-5562
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
110752
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133239
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100003628
—
AL
Enumeration date
09/30/2006
Last updated
09/23/2010
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