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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
325 W WALNUT ST SUITE 500 LEBANON, KY 40033 US
Tel: 270-692-3111 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BD1200X | Suppliers Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | KY | P02451 |
N | 332BN1400X | Suppliers Durable Medical Equipment & Medical Supplies | KY | P02451 |
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies | KY | P02451 |
N | 332BX2000X | Suppliers Durable Medical Equipment & Medical Supplies | KY | P02451 |
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | KY | P02451 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
90040783 | KY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin