Southall Pharmacy Pllc

LBN: Southall Pharmacy Pllc
Southall Pharmacy Pllc is an health care organization with primary practice located at 325 W Walnut St Suite 500, Lebanon KY 40033-1377. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Dialysis Equipment & Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Southall Pharmacy Pllc 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 Suite 500 Lebanon KY 40033-1377
Phone: (270) 692-3111
Fax: (270) 692-4211
Website:
Map and Directions
Authorized official contact:
Name: Southall, Francis W RPH
Phone: (270) 692-3111

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P02451 Kentucky
Suppliers / Dialysis Equipment & Supplies 332BD1200X P02451 Kentucky
Suppliers / Nursing Facility Supplies 332BN1400X P02451 Kentucky
Suppliers / Parenteral & Enteral Nutrition 332BP3500X P02451 Kentucky
Suppliers / Oxygen Equipment & Supplies 332BX2000X P02451 Kentucky

Profile Details

NPI number 1497871859
LBN Legal business name Southall Pharmacy Pllc
DBA Doing business as
Authorized official Southall, Francis W RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Mar 2nd, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497871859 NPPES
Kentucky MEDICAID 90040783

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