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SOUTHALL PHARMACY PLLC

Medical Equipment Supplier Yellow Pages

Lebanon, Kentucky

Provider NPI: 1497871859

Organization Information:
Organization Name:  SOUTHALL PHARMACY PLLC


Practice Location:
325 W WALNUT ST SUITE 500 LEBANON, KY 40033 US
Tel: 270-692-3111  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332BD1200XSuppliers
Durable Medical Equipment & Medical Supplies
Dialysis Equipment & Supplies
KYP02451
N332BN1400XSuppliers
Durable Medical Equipment & Medical Supplies
KYP02451
N332BP3500XSuppliers
Durable Medical Equipment & Medical Supplies
KYP02451
N332BX2000XSuppliers
Durable Medical Equipment & Medical Supplies
KYP02451
Y332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
KYP02451

Other Provider Identifiers:

IssuerNumberStateType
90040783KY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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