Southern Family Market
LBN: Southern Family Markets Llc
Southern Family Market is an health care organization with primary practice located at 2826 Meredyth Dr , Albany GA 31707-0208. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Southern Family Markets Llc can be contacted via phone (229) 889-1455, or through Tow, Mark via phone (205) 912-4234.
Contact Information
Primary practice address
2826 Meredyth Dr
Albany GA 31707-0208
Phone: (229) 889-1455
Fax: (229) 889-1652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE007403 | Georgia |
Profile Details
| NPI number | 1154414514 |
|---|---|
| LBN Legal business name | Southern Family Markets Llc |
| DBA Doing business as | Southern Family Market |
| Authorized official | Tow, Mark |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Oct 30th, 2009 - about 15 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 | 1154414514 | NPPES |
| Other | 1153472 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 950825064B | NCPDP PROVIDER IDENTIFICATION NUMBER |
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