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SOUTHERN FAMILY MARKETS LLC NPI 1245323609


NPI Information

NPI: 1245323609
Provider Name: SOUTHERN FAMILY MARKETS LLC

Doing Business As: SOUTHERN FAMILY MARKET

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
505 BANKHEAD HWY
CARROLLTON, GA
ZIP 30117
Phone: (678) 796-0605
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SOUTHERN FAMILY MARKETS LLC is a community/retail pharmacy pharmacy in Carrollton, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SOUTHERN FAMILY MARKETS LLC NPI is 1245323609. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Family Market.

The provider's business location address is:

505 BANKHEAD HWY
CARROLLTON, GA
ZIP 30117-446
Phone: (678) 796-0605
Fax: (678) 796-0624

The provider's authorized official is Mark Tow .
The authorized official title is Director Of Pharmacy and has the following contact phone number (205) 912-4234.

The enumeration date for this NPI number is 9/30/2006 and was last updated on 10/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHRE008612GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11153460OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
25562170002MEDICARE NSC
3950825064AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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