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Contact Information

SOUTHERN RX
1033 ANDRE ST
NEW IBERIA, LA70563
 Phone: 337-365-1411
 Fax: 337-365-0932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHERN RX

NPI # 1518054709
LBN Legal business name SOUTHERN RX
Authorized official RAHUL PATEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2006
Last updated 01/15/2020 - About 6 years ago
Identifiers
LA License # PHY007503IR
LA Medicaid 2205498
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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