Extencare

LBN: Southall Pharmacy Pllc
Extencare is an health care organization with primary practice located at 110 E Main St , Lebanon KY 40033-1235. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Southall Pharmacy Pllc can be contacted via phone (270) 699-9251, or through Southall, Francis W via phone (270) 692-3111.

Contact Information

Primary practice address
110 E Main St Lebanon KY 40033-1235
Phone: (270) 699-9251
Fax:
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 P07263 Kentucky
Suppliers / Nursing Facility Supplies 332BN1400X P07263 Kentucky
Suppliers / Long Term Care Pharmacy 3336L0003X P07263 Kentucky

Profile Details

NPI number 1417119157
LBN Legal business name Southall Pharmacy Pllc
DBA Doing business as Extencare
Authorized official Southall, Francis W RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2008
Last updated Jun 25th, 2008 - about 17 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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