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
2050 HILLSBORO BLVD, MANCHESTER, TN 37355-7306
(931) 723-1849
(931) 723-4641
Mailing address
2050 HILLSBORO BLVD, MANCHESTER, TN 37355-7306
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0000003474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4438948
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4438948
—
TN
Enumeration date
09/30/2006
Last updated
08/22/2020
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