# SOUTHEAST PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114089794
- **Authorized official:** ROBERT R HUNTER (PHARMACIST)
- **Authorized official phone:** (801) 466-2181

## Contact information

- **Practice address:** 2670 S 2000 E, SALT LAKE CITY, UT 84109-1736
- **Practice address phone:** (801) 466-2181
- **Mailing address:** 2670 S 2000 E, SALT LAKE CITY, UT 84109-1736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 1277321703 | UT | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020