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Organization
NORTHEAST PHARMACEUTICALS INC
Active
Organization
NORTHEAST PHARMACEUTICALS INC
Active
Other names
Northeast Pharmaceuticals Montgomery
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA PORTER (DIRECTOR OF OPERATONS)
(334) 356-7627
Entity
Organization
Contact information
Practice address
2140 UPPER WETUMPKA RD, MONTGOMERY, AL 36107-1342
(334) 356-7627
(334) 356-7647
Mailing address
3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700
(334) 356-7627
(334) 356-7647
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
114090
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139978
PK
—
Enumeration date
04/11/2013
Last updated
07/15/2015
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