Organization
PMP ASSOCIATES, INC.
Active
Other names
Crestview Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE MARIE PIROVOLOS (PRESIDENT)
(732) 747-6833
Entity
Organization
Contact information
Practice address
525 STATE ROUTE 35, RED BANK, NJ 07701-5037
(732) 747-6833
(732) 747-2651
Mailing address
525 STATE ROUTE 35, RED BANK, NJ 07701-5037
(732) 747-6833
(732) 747-2651
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00598000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8953309
—
NJ
Enumeration date
04/03/2007
Last updated
03/05/2009
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