| NPI | 1417962010 |
|---|---|
| Doing Business As | SOUTHEAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WAYNE YOUNG CEO 713-970-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX 11435) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-07-25 |