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Contact Information

SOUTHERN PHARMACEUTICAL CORPORATION
10501 ROAD 375
PHILADELPHIA, MS39350
 Phone: 601-650-9699
 Fax: 601-650-9262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for SOUTHERN PHARMACEUTICAL CORPORATION

NPI # 1093809774
LBN Legal business name SOUTHERN PHARMACEUTICAL CORPORATION
Authorized official GREGORY CRAWFORD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 09/16/2024 - More than a year ago
Identifiers
MS License # 05830/11.1
MS Medicaid 07533263
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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