Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Southeastern Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE EDGE PHARM. D. (PHARMACY SUPERVISOR)
(910) 735-8806
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 735-8806
(910) 735-8803
Mailing address
300 W 27TH ST., LUMBERTON, NC 28358-3098
(910) 735-8806
(910) 735-8803
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10389
NC
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336N0007X
Nuclear Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
03/24/2011
Last updated
08/05/2013
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