MEDICARE: SOUTHERN FAMILY MARKETS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHRE007673	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1153977	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588757694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN FAMILY MARKETS LLC

Provider Business Mailing Address
First Line	:	PO BOX 8500
Second Line	:	LOCKBOX 8531
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-8531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4025 LEXINGTON RD
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30605-2527
Country	:	US
Telephone Number	:	706-613-2244
Fax Number	:	706-613-6030

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	MARK TOW
Credential	:
Telephone Number	:	205-912-4234

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	10/30/2009

Similar Medicare Providers

1679965503 — CHRISTOPHER DONALD ALLEN L.C.S.W.
Practice Location Address:

525 W HANCOCK AVE
ATHENS, GA
30601-2527

Practice Phone: 706-296-3825
Practice Fax:

1033547682 — SHAKIRA LYNN APRN
Practice Location Address:

2301 COLLEGE STATION RD
ATHENS, GA
30605-6609

Practice Phone: 706-353-8543
Practice Fax:

1649119165 — EMERSON ELIZABETH JENKINS
Practice Location Address:

355 RIVERBEND PKWY APT 38
ATHENS, GA
30605-5908

Practice Phone: 984-484-8320
Practice Fax:

1083569248 — LINDSEY CICALESE BCBA
Practice Location Address:

850 COLLEGE STATION RD BLDG 2
ATHENS, GA
30605-2718

Practice Phone: 706-542-4751
Practice Fax:

1427906932 — THE FOX CLUB LLC
Practice Location Address:

106 E PACES DR
ATHENS, GA
30605-5217

Practice Phone: 706-247-2741
Practice Fax:

1972284347 — RURAL URGENT CARE LLC
Practice Location Address:

4250 LEXINGTON RD
ATHENS, GA
30605-2524

Practice Phone: 706-395-3675
Practice Fax: 706-412-5148

Directions to “SOUTHERN FAMILY MARKETS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.