Organization
TOMS RIVER DRUG LLC
Active
Other names
TOMS RIVER DRUG LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KEANE (OWNER)
(908) 461-0763
Entity
Organization
Contact information
Practice address
1250 ROUTE 166, TOMS RIVER, NJ 08753-2744
(732) 341-1500
(732) 341-1515
Mailing address
1250 ROUTE 166, TOMS RIVER, NJ 08753-2744
(732) 341-1500
(732) 341-1515
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00677100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056238
PK
—
Enumeration date
01/23/2008
Last updated
10/17/2016
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