Organization
NORTHEAST PHARMACEUTICALS, INC
Active
Other names
Northeast Pharmaceuticals, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LATONAGE PORTER (PHARMACIST)
(334) 819-4500
Entity
Organization
Contact information
Practice address
4941 MONTEVALLO RD, IRONDALE, AL 35210-2418
(334) 819-4500
(334) 819-4520
Mailing address
3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700
(334) 819-4500
(334) 819-4520
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
114200
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141987
PK
—
Enumeration date
09/10/2013
Last updated
09/10/2013
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