Southall Pharmacy Pllc
LBN: Francis W Southall Jr
Southall Pharmacy Pllc is an health care organization with primary practice located at 325 W Walnut St Ste 500, Lebanon KY 40033. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Francis W Southall Jr can be contacted via phone (270) 692-3111, or through Southall, Francis W. via phone (270) 692-3111.
Contact Information
Primary practice address
325 W Walnut St Ste 500
Lebanon KY 40033
Phone: (270) 692-3111
Fax: (270) 692-4211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | P02451 | Kentucky |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P02451 | Kentucky |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | P02451 | Kentucky |
Profile Details
| NPI number | 1891798336 |
|---|---|
| LBN Legal business name | Francis W Southall Jr |
| DBA Doing business as | Southall Pharmacy Pllc |
| Authorized official | Southall, Francis W. RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2005 |
| Last updated | Dec 31st, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891798336 | NPPES |
| Kentucky | MEDICAID | 90040783 | |
| Kentucky | MEDICAID | 54027925 |
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