# SEASIDE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942521448
- **Authorized official:** MR. KANAKIS MARKAKIS R.PH. (PHARMACIST)
- **Authorized official phone:** (732) 250-6600

## Contact information

- **Practice address:** 410 SOUTH EAST CENTRAL AVE, SEASIDE PARK, NJ 08752
- **Practice address phone:** (732) 250-6600
- **Practice address fax:** (732) 250-6601
- **Mailing address:** 410 SOUTH EAST CENTRAL AVE, SEASIDE PARK, NJ 08752
- **Mailing address phone:** (732) 250-6600
- **Mailing address fax:** (732) 250-6601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 28RS00704400 | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00704400 | NJ | Yes |

## Other

- **Enumeration date:** 06/18/2010
- **Last updated:** 06/18/2010