Organization
SOUTH DIXIE PHARMACY LLC
Active
Other names
South Dixie Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DANIELS (OWNER)
(270) 949-3494
Entity
Organization
Contact information
Practice address
12134 S DIXIE HWY, SONORA, KY 42776-9739
(270) 949-3494
(270) 949-3494
Mailing address
12134 S DIXIE HWY, SONORA, KY 42776-9739
(270) 949-3494
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100217350
—
KY
Enumeration date
04/22/2020
Last updated
07/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us