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Organization

FRANCIS W SOUTHALL JR

Active
Other names
Southall Pharmacy, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCIS W SOUTHALL, JR RPH (OWNER)
(270) 692-3111
Entity
Organization

Contact information

Practice address
325 W WALNUT ST STE 500, LEBANON, KY 40033-1379
(270) 692-3111
(270) 692-4211
Mailing address
325 W WALNUT ST STE 500, LEBANON, KY 40033-1379
(270) 692-3111
(270) 692-4211

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54027925
KY
Enumeration date
12/14/2021
Last updated
12/14/2021
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