Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeastern Medical Compounding LLC

Organization Community/Retail Pharmacy · NPI 1467783209

Southeastern Medical Compounding LLC is a Community/Retail Pharmacy in Savannah, Georgia. Licensed in Alabama, Arizona, Florida and Georgia and 5 more. Registered with an NPI since 2010.

Licensed in
AL, AZ, FL, GA, MI, MN
In the registry since
2010
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

709 Mall Blvd Rm 356B
Savannah, GA 31406-4805
Phone: (912) 201-8138
Fax: (877) 329-0079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence 114078 (AL)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence Y006009 (AZ)
Compounding Pharmacy Taxonomy 3336C0004X · Licence PHRE009607 (GA)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 2013005924 (MO)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 5301009997 (MI)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 264044 (MN)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 27038 (TX)
Compounding Pharmacy Taxonomy 3336C0004X · Licence PH25026 (FL)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 022297550 (OH)

Record details

NPI number1467783209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Kennedy — Vice President · (912) 201-8138
Other names Southeastern Medical Compounding Llc
NPI enumeratedJanuary 19, 2010
Last updated in NPPESJune 11, 2015
Mailing address7370 Hodgson Memorial Dr # C5-B, Savannah, GA 31406-2536

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