Southeasthealth Pharmacy

LBN: Southeast Health Pharmacy Llc
Southeasthealth Pharmacy is an health care organization with primary practice located at 2002 Kanell Blvd Ste 102, Poplar Bluff MO 63901-4045. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southeast Health Pharmacy Llc can be contacted via phone (573) 778-1608, or through Mcafee, Mike via phone (573) 778-1608.

Contact Information

Primary practice address
2002 Kanell Blvd Ste 102 Poplar Bluff MO 63901-4045
Phone: (573) 778-1608
Fax: (573) 778-1645
Website:
Map and Directions
Authorized official contact:
Name: Mcafee, Mike
Phone: (573) 778-1608

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2013001184 Missouri

Profile Details

NPI number 1396189767
LBN Legal business name Southeast Health Pharmacy Llc
DBA Doing business as Southeasthealth Pharmacy
Authorized official Mcafee, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2013
Last updated Feb 3rd, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396189767 NPPES
Other 2140112 PK

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