# FREEHOLD SPECIALTY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CentraState Specialty Script
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043548498
- **Authorized official:** MR. BARRY BESHKIN RPH (VP)
- **Authorized official phone:** (917) 648-0933

## Contact information

- **Practice address:** 901 W MAIN ST, SUITE 162, FREEHOLD, NJ 07728-2537
- **Practice address phone:** (732) 414-1977
- **Mailing address:** 901 W MAIN ST, SUITE 162, FREEHOLD, NJ 07728-2537
- **Mailing address phone:** (732) 414-1977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 28RS00698600 | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00698600 | NJ | Yes |

## Other

- **Enumeration date:** 11/23/2009
- **Last updated:** 03/30/2011