Organization
SOUTHEAST FAMILY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SUTTON (OWNER/PHARMACIST)
(919) 222-0842
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
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965682
—
NC
01
—
2069949
PK
—
05
—
7703956
—
NC
Enumeration date
03/01/2006
Last updated
05/24/2016
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