Organization
NORTHEAST PHARMACEUTICALS INC
Active
Other names
Northeast Pharmaceuticals-Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA PORTER (DIRECTOR OF OPERATIONS)
(334) 356-7627
Entity
Organization
Contact information
Practice address
1707 HOSPITAL ST, GREENVILLE, MS 38703-3225
(334) 356-7627
(334) 356-8347
Mailing address
3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700
(334) 819-4500
(334) 356-8347
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
08654
MS
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08631311
—
MS
01
—
2126839
PK
—
Enumeration date
09/20/2010
Last updated
12/21/2015
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