Southland Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Manchester, TN. Organization (NPI-2).
NPI number1093205346
StatusActive
Last updated in NPPESOct 30, 2026
Details
- NPI
- 1093205346
- Entity type
- Organization (NPI-2)
- Legal business name
- Southland Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- May 12, 2018
- Certification date
- Oct 30, 2026
- Last updated
- Oct 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 6298 | TN | Yes |
| 333600000X | Pharmacy | – | – |
Practice location
482 Interstate Dr Ste KManchester, TN 37355
Phone 615-788-5998 · Fax 931-954-0524
Mailing address
482 Interstate Dr Ste KManchester, TN 37355-3486
Phone 931-563-0008 · Fax 931-954-0524
Authorized official
Art Snow
President
9315630008
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