Organization
NORTHEAST PHARMACEUTICALS INC
Active
Other names
Northeast Pharmaceuticals
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA PORTER (DIRECTOR OF OPERATIONS)
(334) 819-4500
Entity
Organization
Contact information
Practice address
4131 HELTON DR, FLORENCE, AL 35630-6207
(334) 819-4500
(334) 819-4520
Mailing address
3480 EATERN BOULEVARD, MONTGOMERY, AL 36116
(334) 819-4500
(334) 819-4520
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
114323
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144849
PK
—
Enumeration date
03/25/2014
Last updated
07/15/2015
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