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

Southern Pharmacy Inc

Organization Pharmacy · NPI 1073528683

Southern Pharmacy Inc is a Pharmacy in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4829 S Ashland Ave
Chicago, IL 60609-4234
Phone: (773) 927-0270
Fax: (773) 927-6128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054009286 (IL)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1073528683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathalie Jones — Pic · (773) 927-0270
Other names Southern Pharmacy
NPI enumeratedJuly 30, 2006
Last updated in NPPESSeptember 10, 2014
Mailing address4829 S Ashland Ave, Chicago, IL 60609-4234

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