| NPI | 1447496849 |
|---|---|
| Doing Business As | NORTHEAST PHARMACEUTICALS-MOBILE |
| Entity Type | Organization |
| Authorized Contact | LATONYA PORTER Director Of Operations 334-356-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: AL 113227) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2015-07-15 |