Organization
SOUTHEAST COMMUNITY PHARMACY
Active
Other names
Southeast Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES COLEMAN MITCHELL JR. RPH (MANAGING MEMBER)
(757) 586-5552
Entity
Organization
Contact information
Practice address
2315 JEFFERSON AVE, NEWPORT NEWS, VA 23607-4509
(757) 586-5552
(757) 586-5558
Mailing address
2315 JEFFERSON AVE, NEWPORT NEWS, VA 23607-4509
(757) 586-5552
(757) 586-5558
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336818087
—
VA
Enumeration date
09/07/2021
Last updated
03/23/2023
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