| NPI | 1336818087 |
|---|---|
| Doing Business As | SOUTHEAST COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES COLEMAN MITCHELL Managing Member 757-586-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-03-23 |