Organization
NORTHEAST PHARMACEUTICALS INC
Active
Other names
Northeast Pharmaceuticals Montgomery
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA PORTER (DIRECTOR OF OPERATONS)
(334) 356-7627
Entity
Organization
Contact information
Practice address
2140 UPPER WETUMPKA RD, MONTGOMERY, AL 36107-1342
(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
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
114090
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139978
PK
—
Enumeration date
04/11/2013
Last updated
07/15/2015
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