# BRADLEY BEACH PAHRAMCY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRADLEY BEACH PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285799619
- **Authorized official:** YATMAN KEUNG (PRESIDENT)
- **Authorized official phone:** (732) 774-7174

## Contact information

- **Practice address:** 128 MAIN ST, BRADLEY BEACH, NJ 07720-1030
- **Practice address phone:** (732) 774-7174
- **Practice address fax:** (732) 774-7175
- **Mailing address:** 128 MAIN ST, BRADLEY BEACH, NJ 07720-1030
- **Mailing address phone:** (732) 774-7174
- **Mailing address fax:** (732) 774-7175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00380000 | NJ | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 11/15/2016