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
155 BONANZA DR, FAYETTEVILLE, NC 28303-6313
(910) 864-2915
(910) 864-7525
Mailing address
155 BONANZA DR, FAYETTEVILLE, NC 28303-6313
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
09190
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266277
—
NC
01
—
3404403
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/30/2006
Last updated
09/11/2025
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