| NPI | 1790083400 |
|---|---|
| Doing Business As | NORTHEAST PHARMACEUTICALS-DOTHAN |
| 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 113591) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2015-07-15 |