Organization · Type 2 NPI

Southeastern Pharmacy Health Park

Pharmacy · Lumberton, NC

NPI number 1356748057 Active

Practice location

4901 Dawn Dr Ste 1200
Lumberton, NC 28360-8207

Fax (910) 671-4224

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	12148 (NC)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

Another provider at this address

Southeastern Regional Physician ServicesObstetrics & Gynecology Physician Lumberton, NC NPI 1336797349

Other pharmacy providers in Lumberton

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NPI record

NPI: 1356748057
Entity type: Organization (Type 2)
Issued: Nov 24, 2014
Last updated: Nov 24, 2014
Status: Active

Other names

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Southeastern Regional Medical Center · doing business as

Authorized official

Dr. Jeffrey Lee Edge, PHARM D
Outpatient Pharmacy Supervisor
(910) 735-8806

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356748057

Southeastern Pharmacy Health Park's National Provider Identifier is 1356748057, issued on Nov 24, 2014. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Lumberton, NC. The record was last updated on Nov 24, 2014.