Organization
SOUTHEAST INC
Active
Other names
Apothecare
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN WISSINGER RPH (DIRECTOR OF PHARMACY)
(740) 695-9344
Entity
Organization
Contact information
Practice address
68353 BANNOCK RD, SAINT CLAIRSVILLE, OH 43950-9736
(740) 695-9344
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0980
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
0232000018
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/16/2018
Last updated
02/26/2020
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