Organization
SOUTHEASTERN PHARMACY HEALTH PARK
Active
Other names
SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE EDGE PHARM D (OUTPATIENT PHARMACY SUPERVISOR)
(910) 735-8806
Entity
Organization
Contact information
Practice address
4901 DAWN DR STE 1200, LUMBERTON, NC 28360-8207
(910) 671-4223
(910) 671-4224
Mailing address
4901 DAWN DR STE 1200, LUMBERTON, NC 28360-8207
(910) 671-4223
(910) 671-4224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
12148
NC
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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