Organization

Southeast Pharmaceuticals, Inc

May also be knows as Southeast Pharmaceuticals Vital Care

Legal Business Name

Southeast Pharmaceuticals, Inc

Also Known As

Southeast Pharmaceuticals Vital Care

NPI Number

1427167477

NPI Type

Organization

Enumeration Date

08/30/2006

Specialties

(Taxonomies)

Licenses

State

Alabama

License Number

110474

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 415
704 TROY HWY

City

Elba
Elba

State

AL
AL

Postal Code

36323-0415
36323-1521

Country

US
US

Telephone Number

(334) 897-3746
(334) 897-3746

Authorized Official

Name

Mr. John Holley

Title or Position

PRESIDENT

Telephone Number

(334) 897-3746

Identifiers

Identifier

100002728
009505350
510-36152
106273500

Identifier State

AL
AL
AL
FL

Identifier Issuer

Unknown
Unknown
BCBS DME
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/29/2010

Provider Address