Organization
ADCO50 INC
Active
Other names
SOUTHEAST FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDIE ADAMS (PRESIDENT)
(919) 778-1110
Entity
Organization
Contact information
Practice address
223 NC HIGHWAY 111 S, GOLDSBORO, NC 27534-9253
(919) 778-1110
(919) 778-1038
Mailing address
223 NC HIGHWAY 111 S, GOLDSBORO, NC 27534-9253
(919) 778-1110
(919) 778-1038
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12985
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160157
PK
—
Enumeration date
05/11/2016
Last updated
09/21/2016
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