| NPI | 1326514233 |
|---|---|
| Doing Business As | NORTHEASTERN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | YEHUDA SIBONI Officer 915-400-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2019-10-25 |