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Organization
SOUTHEASTERN PHARMACY HEALTH PARK
Active
Organization
SOUTHEASTERN PHARMACY HEALTH PARK
Active
Other names
SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE EDGE PHARM D (OUTPATIENT PHARMACY SUPERVISOR)
(910) 735-8806
Entity
Organization
Contact information
Practice address
4901 DAWN DR STE 1200, LUMBERTON, NC 28360-8207
(910) 671-4223
(910) 671-4224
Mailing address
4901 DAWN DR STE 1200, LUMBERTON, NC 28360-8207
(910) 671-4223
(910) 671-4224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
12148
NC
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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