Bradley Beach Pharmacy

LBN: Bradley Beach Pahramcy Inc.
Bradley Beach Pharmacy is an health care organization with primary practice located at 128 Main St , Bradley Beach NJ 07720-1030. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bradley Beach Pahramcy Inc. can be contacted via phone (732) 774-7174, or through Keung, Yatman via phone (732) 774-7174.

Contact Information

Primary practice address
128 Main St Bradley Beach NJ 07720-1030
Phone: (732) 774-7174
Fax: (732) 774-7175
Website:
Map and Directions
Authorized official contact:
Name: Keung, Yatman
Phone: (732) 774-7174

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00380000 New Jersey

Profile Details

NPI number 1285799619
LBN Legal business name Bradley Beach Pahramcy Inc.
DBA Doing business as Bradley Beach Pharmacy
Authorized official Keung, Yatman
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Nov 15th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285799619 NPPES
New Jersey MEDICAID 4372808
New Jersey Other 2058285

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