| NPI | 1073528683 |
|---|---|
| Doing Business As | SOUTHERN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NATHALIE JONES PIC 773-927-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054009286) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2014-09-10 |