Francis W Southall, Jr, RPH
Individual provider Active NPI Pharmacist · Lebanon, KY
NPI 1992774616 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992774616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9019 (KY)
- Practice address
- 325 W Walnut St
Suite 500
Lebanon, KY 40033-1377 - Phone
- (270) 692-3111
- Fax
- (270) 692-4211
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9019 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9019 | KY | Yes |
Addresses
Primary practice location
325 W Walnut St
Suite 500
Lebanon, KY 40033-1377
Mailing address
325 W Walnut St
Suite 500
Lebanon, KY 40033-1377
Phone (270) 692-3111
Other providers in Lebanon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.