Organization
DRUG FAIR GROUP, INC.
Active
Other names
Drug Fair of Port Monmouth 48
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRIE MARTIN LEVINE R.PH. (V.P. PHARMACY)
(732) 748-8900
Entity
Organization
Contact information
Practice address
375 HIGHWAY 36 & MAIN STREET, PORT MONMOUTH, NJ 07758
(732) 787-1041
(732) 787-5632
Mailing address
800 COTTONTAIL LN, SOMERSET, NJ 08873-1227
(732) 748-8900
(732) 868-4172
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5595
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115339
—
NJ
05
—
7577109
—
NJ
Enumeration date
05/13/2006
Last updated
03/28/2008
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