Organization
FREEHOLD SPECIALTY PHARMACY LLC
Active
Other names
CentraState Specialty Script
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY BESHKIN RPH (VP)
(917) 648-0933
Entity
Organization
Contact information
Practice address
901 W MAIN ST, SUITE 162, FREEHOLD, NJ 07728-2537
(732) 414-1977
Mailing address
901 W MAIN ST, SUITE 162, FREEHOLD, NJ 07728-2537
(732) 414-1977
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00698600
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00698600
NJ
Other
Enumeration date
11/23/2009
Last updated
03/30/2011
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