# JSPLTC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jersey Shore Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720486954
- **Authorized official:** MR. KEITH P HARTMAN RPH (CEO)
- **Authorized official phone:** (609) 748-1162

## Contact information

- **Practice address:** 236 E JIMMIE LEEDS RD STE C, GALLOWAY, NJ 08205-4134
- **Practice address phone:** (609) 748-1162
- **Mailing address:** 106 APPLE ST, SUITE 202A, TINTON FALLS, NJ 07724-2669
- **Mailing address phone:** (609) 748-1162
- **Mailing address fax:** (609) 748-1193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 28RS00737100 | NJ | Yes |

## Other

- **Enumeration date:** 12/22/2014
- **Last updated:** 12/22/2014