NPI | 1396189767 |
---|---|
Doing Business As | SOUTHEASTHEALTH PHARMACY |
Entity Type | Organization |
Authorized Contact | MIKE MCAFEE PIC 573-778-1608 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2013001184) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2016-02-03 |