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 |