# NORTHEAST PHARMACEUTICALS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northeast Pharmaceuticals-Greenville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831407113
- **Authorized official:** LATONYA PORTER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (334) 356-7627

## Contact information

- **Practice address:** 1707 HOSPITAL ST, GREENVILLE, MS 38703-3225
- **Practice address phone:** (334) 356-7627
- **Practice address fax:** (334) 356-8347
- **Mailing address:** 3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700
- **Mailing address phone:** (334) 819-4500
- **Mailing address fax:** (334) 356-8347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 08654 | MS | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2010
- **Last updated:** 12/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08631311 | — | MS |
| 01 | — | 2126839 | PK | — |