Organization
KOTIYARK INC
Active
Other names
BAYSHORE HOMECARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEYUR SHAH RPH (PRESIDENT)
(732) 888-0303
Entity
Organization
Contact information
Practice address
733 N BEERS ST, HOLMDEL, NJ 07733-1513
(732) 888-0303
(732) 888-9621
Mailing address
733 N BEERS ST, STE L1, HOLMDEL, NJ 07733-1513
(732) 888-0303
(732) 888-9621
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00624200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0907014
—
NJ
01
—
3127289
NCPDP NUMBER OR NABP NUMB
NJ
Enumeration date
09/21/2005
Last updated
06/07/2023
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