| NPI | 1912340639 |
|---|---|
| Doing Business As | NORTHEAST PHARMACEUTICALS MONTGOMERY |
| Entity Type | Organization |
| Authorized Contact | LATONYA PORTER Director Of Operatons 334-356-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AL 114090) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2015-07-15 |