NPI | 1730220328 |
---|---|
Doing Business As | OCEAN COUNTY FAMILY CARE - JACKSON |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA08551100) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2014-12-22 |