Organization
COLTS NECK FAMILY DRUGS INC
Active
Other names
FAMILY PHARMACY ON 34
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MASTROKOSTAS (PRESIDENT)
(732) 677-3380
Entity
Organization
Contact information
Practice address
293 RT 34, SUITE 201, COLTS NECK, NJ 07722
(732) 677-3380
(732) 677-3382
Mailing address
11 EQUINOX LN, FREEHOLD, NJ 07728-8652
(732) 252-5615
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00666300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3194064
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/06/2006
Last updated
12/21/2010
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