Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
SOUTHEASTERN PHARMACY 2
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF EDGE PHARM.D (PHARMACY SUPERVISOR)
(910) 735-8858
Entity
Organization
Contact information
Practice address
2934 NORTH ELM ST, SUITE C, LUMBERTON, NC 28358
(910) 735-8858
(910) 735-8857
Mailing address
2934 N ELM ST STE C, LUMBERTON, NC 28358-2987
(910) 735-8858
(910) 735-8857
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
11187
NC
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/14/2012
Last updated
06/19/2026
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