Kotiyark INC
Pharmacy, Long Term Care Pharmacy in Holmdel, NJ. Organization (NPI-2).
NPI number1982431565
StatusActive
Last updated in NPPESSep 17, 2024
Details
- NPI
- 1982431565
- Entity type
- Organization (NPI-2)
- Legal business name
- Kotiyark INC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2024
- Certification date
- Sep 17, 2024
- Last updated
- Sep 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Other names
- Bayshore Homecare Ltc Pharmacy (Doing Business As)
Practice location
733 N Beers St Ste L1Holmdel, NJ 07733-1513
Phone 732-888-0303
Mailing address
733 N Beers St Ste L1Holmdel, NJ 07733-1513
Phone 732-888-0303
Authorized official
Keyur Shah
Owner
7328880303
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