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Organization
NORTHEAST PHARMACEUTICALS INC
Active
Organization
NORTHEAST PHARMACEUTICALS INC
Active
Other names
Northeast Pharmaceuticals-Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA PORTER (DIRECTOR OF OPERATIONS)
(334) 356-7627
Entity
Organization
Contact information
Practice address
3456 HILLCREST RD, BLDG B STE D, MOBILE, AL 36695-3195
(251) 665-4521
(251) 665-4522
Mailing address
3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700
(334) 356-7627
(334) 356-8347
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
113227
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118729
PK
—
Enumeration date
01/06/2009
Last updated
07/15/2015
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