Organization
SOUTHALL FAMILY PHARMACY
Active
Organization
SOUTHALL FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SOUTHALL (PHARMACY/FUTURE OWNER)
(859) 619-1466
Entity
Organization
Contact information
Practice address
325 W. WALNUT ST. SUITE 500, LEBANON, KY 40033
(270) 692-3111
Mailing address
325 W. WALNUT ST. SUITE 500, LEBANON, KY 40033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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