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Organization

DRUG FAIR OF FREEHOLD

Active
Other names
DRUG FAIR OF FREEHOLD
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY LEVINE (VP PHCY OPER)
(732) 748-8900
Entity
Organization

Contact information

Practice address
POND ROAD PLAZA SOUTH, FREEHOLD, NJ 07728
(732) 625-1115
(732) 625-1255
Mailing address
POND ROAD PLAZA SOUTH, FREEHOLD, NJ 07728

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
RS00678500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3194975
OTHER ID NUMBER
Enumeration date
02/26/2008
Last updated
02/26/2008
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