| Organization Name: | SOUTHERN PHARMACEUTICAL CORPORATION |
| NPI Number: | 1578659629 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS E. MARTIN (VICE PRESIDENT) |
| Mailing Address: | 325 Highway 12 W Kosciusko |
| State: | MS US |
| Postal Code: | 390903255 |
| Phone Number: | 6622854531 |
| Fax Number: | 6622855661 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 08076/11.1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |