Organization
SOUTHEAST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R HUNTER (PHARMACIST)
(801) 466-2181
Entity
Organization
Contact information
Practice address
2670 S 2000 E, SALT LAKE CITY, UT 84109-1736
(801) 466-2181
Mailing address
2670 S 2000 E, SALT LAKE CITY, UT 84109-1736
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1277321703
UT
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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