Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southall Pharmacy PLLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1417119157

Southall Pharmacy PLLC is a Durable Medical Equipment & Medical Supplies in Lebanon, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.

Licensed in
KY
In the registry since
2008
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 E Main St
Lebanon, KY 40033-1235
Phone: (270) 699-9251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence P07263 (KY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence P07263 (KY)
Nursing Facility Supplies (DME) Taxonomy 332BN1400X · Licence P07263 (KY)

Record details

NPI number1417119157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Francis Southall — Owner · (270) 692-3111
Other names Extencare
NPI enumeratedJune 25, 2008
Last updated in NPPESJune 25, 2008
Mailing address110 E Main St, Lebanon, KY 40033-1235

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