Organization
NORTHEAST PHARMACEUTICALS INC
Active
Other names
NORTHEAST PHARMACEUTICALS CENTRAL
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA PORTER RPH (DIRECTOR OF OPERATIONS)
(334) 356-7627
Entity
Organization
Contact information
Practice address
3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700
(334) 356-7627
(334) 356-7647
Mailing address
3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700
(334) 356-7627
(334) 356-7647
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
112171
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003315
—
AL
01
—
1995049
PK
—
Enumeration date
08/30/2006
Last updated
07/15/2015
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