Southern Pharmacy

LBN: Southern Pharmacy Inc
Southern Pharmacy is an health care organization with primary practice located at 4829 S Ashland Ave , Chicago IL 60609-4234. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Southern Pharmacy Inc can be contacted via phone (773) 927-0270, or through Jones, Nathalie via phone (773) 927-0270.

Contact Information

Primary practice address
4829 S Ashland Ave Chicago IL 60609-4234
Phone: (773) 927-0270
Fax: (773) 927-6128
Website:
Map and Directions
Authorized official contact:
Name: Jones, Nathalie
Phone: (773) 927-0270

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054009286 Illinois
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1073528683
LBN Legal business name Southern Pharmacy Inc
DBA Doing business as Southern Pharmacy
Authorized official Jones, Nathalie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Sep 10th, 2014 - about 12 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 1073528683 NPPES
Other 2020887 PK

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