| Organization Name: | SOUTHEAST PHARMACEUTICALS, INC |
| NPI Number: | 1427167477 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN NEAL HOLLEY (PRESIDENT) |
| Mailing Address: | 704 Troy Hwy Ste A Elba |
| State: | AL US |
| Postal Code: | 363231521 |
| Phone Number: | 3348973746 |
| Fax Number: | 3348973716 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 01/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 110474 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |