Southern Pharmacy Services is an authorized DME supplier for medicare equipments and products.
Southern Pharmacy Services is a Long Term Care Pharmacy in Wytheville, Virginia. This pharmacy is owned and operated by Guardian Pharmacy Of Virginia Llc. It is located at 860 Stafford Umberger Dr, Wytheville and it's customer support contact number is 276-228-5940. The authorized person of Southern Pharmacy Services is Chad Terry who is President of the pharmacy and his contact number is 866-768-8479. Active license number of Southern Pharmacy Services is 201003165 for Long Term Care Pharmacy in Virginia. Southern Pharmacy Services accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Southern Pharmacy Services is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Southern Pharmacy Services type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Chad Terry
Position:
President
Contact Number:
866-768-8479
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1447500400
NPI Enumeration Date:
17 Sep, 2012
NPI Last Update On:
10 Aug, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Pharmacy Services are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
201003165
Virginia
Primary
Long Term Care Pharmacy
MO0559211
West Virginia
Secondary
Long Term Care Pharmacy
11375
North Carolina
Secondary
Long Term Care Pharmacy
3903
Tennessee
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1447500400
Medicaid
Virginia
3810024876
Medicaid
West Virginia
4844266
Other
Ncpdp Provider Identification Number
Medicare Enrollment:
Southern Pharmacy Services is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
9931351921
O20121221000282
Guardian Pharmacy Of Virginia, Llc
DME SUPPLIER - PHARMACY
9931351921
O20130607000534
Guardian Pharmacy Of Virginia, Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Guardian Pharmacy Of Virginia Dept 2428, P.o. Box 11407 Birmingham, Alabama
Zip:
35246-2428
Phone Number:
404-810-0089
Fax Number:
404-810-0094
Patients can reach Southern Pharmacy Services at 860 Stafford Umberger Dr, Wytheville, Virginia or can call on customer care at 276-228-5940.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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