Southeast Medicine Shop

LBN: Southeast Pharmacy, Llc.
Southeast Medicine Shop is an health care organization with primary practice located at 1108 Ross Clark Cir Ste 160 , Dothan AL 36301-3022. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southeast Pharmacy, Llc. can be contacted via phone (334) 793-8116, or through Miller, Derek via phone (334) 793-8111.

Contact Information

Primary practice address
1108 Ross Clark Cir Ste 160 Dothan AL 36301-3022
Phone: (334) 793-8116
Fax: (334) 712-3701
Website:
Map and Directions
Authorized official contact:
Name: Miller, Derek
Phone: (334) 793-8111

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 114719 Alabama

Profile Details

NPI number 1568990125
LBN Legal business name Southeast Pharmacy, Llc.
DBA Doing business as Southeast Medicine Shop
Authorized official Miller, Derek
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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