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SOUTHEASTERN MEDICAL COMPOUNDING LLC

Medical Equipment Supplier Yellow Pages

Savannah, Georgia

Provider NPI: 1467783209

Organization Information:
Organization Name:  SOUTHEASTERN MEDICAL COMPOUNDING LLC


Practice Location:
709 MALL BLVD RM 356B  SAVANNAH, GA 31406 US
Tel: 912-201-8138  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
GAPHRE009607
N3336C0004XSuppliers
Pharmacy
MO2013005924
N3336C0004XSuppliers
Pharmacy
MI5301009997
N3336C0004XSuppliers
Pharmacy
MN264044
N3336C0004XSuppliers
Pharmacy
TX27038
N3336C0003XSuppliers
Pharmacy
AZY006009
N3336C0004XSuppliers
Pharmacy
FLPH25026
Y3336C0004XSuppliers
Pharmacy
AL114078
N3336C0004XSuppliers
Pharmacy
OH022297550

Other Provider Identifiers:

IssuerNumberStateType
PK214064101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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