Southeast Foods, Inc.
NPI #1154459816 in Pearl, Mississippi
Provider Information
- NPI Number
- 1154459816
- Entity Type
- Organization
- Organization Name
- Southeast Foods, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 2, 2007
- Last Updated
- Mar 2, 2010
Practice Location
- Address
- 3111 HIGHWAY 80 E
- City
- Pearl
- State
- Mississippi
- ZIP Code
- 39208-3503
- Phone
- (601) 932-5337
Authorized Official
- Name
- CHARLES DEDMON
- Title
- CFO
- Phone
- (318) 388-1884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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