SOUTHLAND PHARMACY LLC NPI 1093205346

NPI Information

  • NPI: 1093205346
  • Provider Name: SOUTHLAND PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 482 INTERSTATE DR STE K
    MANCHESTER, TN
    ZIP 37355
  • Phone: (615) 788-5998

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NPI Details

SOUTHLAND PHARMACY LLC is a community/retail pharmacy pharmacy in Manchester, TN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SOUTHLAND PHARMACY LLC NPI is 1093205346. The provider is registered as an organization entity type.

The provider's business location address is:

482 INTERSTATE DR STE K
MANCHESTER, TN
ZIP 37355
Phone: (615) 788-5998
Fax: (931) 954-0524

The provider's authorized official is Terri Scioscia .
The authorized official title is Pharmacist In Charge and has the following contact phone number (931) 563-0008.

The enumeration date for this NPI number is 5/12/2018 and was last updated on 7/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy6298TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12177446OTHERPK
2Q036024MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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