Organization
SOUTHEAST INC
Active
Other names
APOTHECARE
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN WISSINGER RPH (DIR OF PHRMCY)
(614) 228-4476
Entity
Organization
Contact information
Practice address
131 N HIGH ST, COLUMBUS, OH 43215-3018
(614) 228-4476
(614) 228-4479
Mailing address
131 N HIGH ST, COLUMBUS, OH 43215-3018
(614) 228-4476
(614) 228-4479
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
021280650
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2078405
PK
—
05
—
2262546
—
OH
05
—
6040078000
—
WV
Enumeration date
08/15/2006
Last updated
02/26/2020
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