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Organization
SEASIDE PHARMACY
Active
Organization
SEASIDE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KANAKIS MARKAKIS R.PH. (PHARMACIST)
(732) 250-6600
Entity
Organization
Contact information
Practice address
410 SOUTH EAST CENTRAL AVE, SEASIDE PARK, NJ 08752
(732) 250-6600
(732) 250-6601
Mailing address
410 SOUTH EAST CENTRAL AVE, SEASIDE PARK, NJ 08752
(732) 250-6600
(732) 250-6601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
28RS00704400
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00704400
NJ
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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