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

Southern Regional Medical Center - Prime Healthcare

Organization Community/Retail Pharmacy · NPI 1548923030

Southern Regional Medical Center - Prime Healthcare is a Community/Retail Pharmacy in Riverdale, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

33 Uppr Riverdale RD SW Ste 20
Riverdale, GA 30274-2626
Phone: (770) 991-8066
Fax: (770) 991-8072
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1548923030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Rowan — Pharmacy Supervisor · (770) 991-8066
Other names Southern Regional Outpatient Pharmacy
NPI enumeratedOctober 21, 2021
Last updated in NPPESOctober 21, 2021
Certification dateSeptember 29, 2021
Mailing address33 Upper Riverdale Rd Sw Ste 20, Riverdale, GA 30274-2626

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