# NORTHEAST PHARMACEUTICALS INC

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

## Provider details

- **NPI number:** 1912016874
- **Authorized official:** LATONYA PORTER RPH (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (334) 356-7627

## Contact information

- **Practice address:** 3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700
- **Practice address phone:** (334) 356-7627
- **Practice address fax:** (334) 356-7647
- **Mailing address:** 3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700
- **Mailing address phone:** (334) 356-7627
- **Mailing address fax:** (334) 356-7647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 112171 | AL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 07/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100003315 | — | AL |
| 01 | — | 1995049 | PK | — |