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Organization
JSPLTC, LLC
Active
Organization
JSPLTC, LLC
Active
Other names
Jersey Shore Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH P HARTMAN RPH (CEO)
(609) 748-1162
Entity
Organization
Contact information
Practice address
236 E JIMMIE LEEDS RD STE C, GALLOWAY, NJ 08205-4134
(609) 748-1162
Mailing address
106 APPLE ST, SUITE 202A, TINTON FALLS, NJ 07724-2669
(609) 748-1162
(609) 748-1193
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28RS00737100
NJ
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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