NPI | 1790444156 |
---|---|
Doing Business As | SOUTHALL PHARMACY, PLLC |
Entity Type | Organization |
Authorized Contact | FRANCIS W SOUTHALL, JR Owner 270-692-3111 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2021-12-14 |
Last Update Date | 2021-12-14 |