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Contact Information

140 MAIN STREET CORPORATION
2175 HIGHWAY 35
SEA GIRT, NJ08750-1009
 Phone: 732-974-2929
 Fax: 732-974-2644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for 140 MAIN STREET CORPORATION

NPI # 1679670509
LBN Legal business name 140 MAIN STREET CORPORATION
Authorized official DENIS CAMPBELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 11/09/2023 - About 3 years ago
Identifiers
NJ License # 28RS00561000
NJ Medicaid 7623305
NJ Medicaid 7623313
Other 2053955 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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