# NORTHEAST PHARMACEUTICALS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTHEAST PHARMACEUTICALS GADSDEN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396917753
- **Authorized official:** LATONYA PORTER RPH (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (334) 356-7627

## Contact information

- **Practice address:** 108 FOUNTAIN AVE, GADSDEN, AL 35901-5652
- **Practice address phone:** (256) 413-4455
- **Practice address fax:** (256) 413-4477
- **Mailing address:** 3480 EASTEN BLVD, MONTGOMERY, AL 36116
- **Mailing address phone:** (256) 413-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 113079 | AL | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 07/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1996297 | PK | — |