| NPI | 1821353657 |
|---|---|
| Doing Business As | NORTHEAST PHARMACEUTICALS, INC. |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL MIMS Director Of Operations 334-356-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: GA PHRE009839) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2014-06-05 |