Southern Family Market

LBN: Southern Family Markets Llc
Southern Family Market is an health care organization with primary practice located at 505 Bankhead Hwy , Carrollton GA 30117-2446. 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 (678) 796-0605, or through Tow, Mark via phone (205) 912-4234.

Contact Information

Primary practice address
505 Bankhead Hwy Carrollton GA 30117-2446
Phone: (678) 796-0605
Fax: (678) 796-0624
Website:
Map and Directions
Authorized official contact:
Name: Tow, Mark
Phone: (205) 912-4234

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008612 Georgia

Profile Details

NPI number 1245323609
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245323609 NPPES
Georgia MEDICAID 950825064A
Georgia Other 1153460

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