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Contact Information

SOUTHERN FAMILY MARKETS LLC
2312 US HIGHWAY 45 N
COLUMBUS, MS39705
 Phone: 662-329-2523
 Fax: 662-329-8930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHERN FAMILY MARKETS LLC

NPI Number 1396838405
LBN Legal business name SOUTHERN FAMILY MARKETS LLC
Authorized official MARK TOW - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
MS License # 03017/01.2
MS Medicaid 00330162
Other 2586266 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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