| NPI | 1821361346 |
|---|---|
| Doing Business As | SOUTHEASTERN PHARMACY 2 |
| Entity Type | Organization |
| Authorized Contact | JEFF EDGE Pharmacy Supervisor 910-735-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 11187) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |