| Organization Name: | SOUTHERN PHARMACEUTICAL CORPORATION |
| NPI Number: | 1063505675 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS E. MARTIN (VICE PRESIDENT) |
| Mailing Address: | 5905 Old Brandon Rd Ste 10 Pearl |
| State: | MS US |
| Postal Code: | 392089021 |
| Phone Number: | 6019392525 |
| Fax Number: | 6019392555 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 12/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 05332/11.1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |