| NPI | 1548499643 |
|---|---|
| Doing Business As | NORTHEAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | UREJI AHMED Pharmacy Manager 614-344-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2012-03-08 |