Organization
FRANCIS W SOUTHALL JR
Active
Other names
Southall Pharmacy PLLC, Southall Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS W SOUTHALL, JR (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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
P02451
KY
3336C0003X
Community/Retail Pharmacy
P02451
KY
3336L0003X
Long Term Care Pharmacy
P02451
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54027925
—
KY
05
—
90040783
—
KY
Enumeration date
05/28/2005
Last updated
12/31/2025
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