Organization
140 MAIN STREET CORPORATION
Active
Other names
campbell's pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS CAMPBELL (OWNER)
(732) 974-2929
Entity
Organization
Contact information
Practice address
2175 HIGHWAY 35, SEA GIRT, NJ 08750-1009
(732) 974-2929
(732) 974-2644
Mailing address
2175 HIGHWAY 35, SEA GIRT, NJ 08750-1009
(732) 974-2929
(732) 974-2644
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00561000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2053955
PK
—
05
—
7623305
—
NJ
05
—
7623313
—
NJ
Enumeration date
09/20/2006
Last updated
11/09/2023
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