Southland Pharmacy Llc

LBN: Southland Pharmacy Llc
Southland Pharmacy Llc is an health care organization with primary practice located at 482 Interstate Dr Ste K , Manchester TN 37355. 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. Southland Pharmacy Llc can be contacted via phone (615) 788-5998, or through Scioscia, Terri via phone (931) 563-0008.

Contact Information

Primary practice address
482 Interstate Dr Ste K Manchester TN 37355
Phone: (615) 788-5998
Fax: (931) 954-0524
Website:
Map and Directions
Authorized official contact:
Name: Scioscia, Terri
Phone: (931) 563-0008

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 6298 Tennessee

Profile Details

NPI number 1093205346
LBN Legal business name Southland Pharmacy Llc
DBA Doing business as
Authorized official Scioscia, Terri
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2018
Last updated Jul 27th, 2018 - about 8 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 1093205346 NPPES
Other 2177446 PK
MEDICAID Q036024 PK

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