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Organization

SOUTHU LLC

Active
Other names
Medical Center Compound Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DUSTIN ADAM BEARD PHARM.D. (OWNER)
(423) 718-8521
Entity
Organization

Contact information

Practice address
2181 PARKER ST NE STE C21, CLEVELAND, TN 37311-3924
(423) 476-5548
Mailing address
578 CLASSIC TRL, RINGGOLD, GA 30736-5895
(423) 718-8521
(706) 841-0442

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
03/28/2026
Last updated
03/28/2026
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