| NPI | 1255758561 |
|---|---|
| Doing Business As | NORTHEAST PHARMACEUTICALS |
| Entity Type | Organization |
| Authorized Contact | LATONYA PORTER Director Of Operations 334-819-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AL 114323) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2015-07-15 |