Organization · NPI-2
140 Main Street Corporation
Pharmacy, Long Term Care Pharmacy · Sea Girt, NJ
NPI number1316720790
StatusActive
Last updated in NPPESNov 9, 2023
Details
- NPI
- 1316720790
- Entity type
- Organization (NPI-2)
- Legal business name
- 140 Main Street Corporation
- Organization subpart
- No
- Enumeration date
- Aug 17, 2023
- Certification date
- Sep 28, 2023
- Last updated
- Nov 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Other names
- Campbell'S Pharmacy (Doing Business As)
- Campbell'S Pharmacy Ltc (Doing Business As)
Practice location
2175 Highway 35Sea Girt, NJ 08750-1009
Phone 732-974-2929 · Fax 732-974-2644
Mailing address
2175 Highway 35Sea Girt, NJ 08750-1009
Phone 732-974-2929 · Fax 732-974-2644
Authorized official
Frank Fariello
Director
7329742929
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