Organization
SOUTHEAST FAMILY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A SUTTON (PHARMACIST/PRESIDENT)
(919) 778-1110
Entity
Organization
Contact information
Practice address
223 NC HIGHWAY 111 S, GOLDSBORO, NC 27534-9253
(919) 778-1110
Mailing address
223 NC HIGHWAY 111 S, GOLDSBORO, NC 27534-9253
(919) 778-1110
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
08383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965682
—
NC
Enumeration date
12/23/2013
Last updated
12/23/2013
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