Healthcare Provider Details

I. General information

NPI: 1225028293
Provider Name (Legal Business Name): SEABRIGHT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BAYSHORE PLZ
ATLANTIC HIGHLANDS NJ
07716-1109
US

IV. Provider business mailing address

9 BAYSHORE PLZ HIGHWAY 36
ATLANTIC HIGHLANDS NJ
07716-1109
US

V. Phone/Fax

Practice location:
  • Phone: 732-291-2900
  • Fax: 732-291-9822
Mailing address:
  • Phone: 732-291-2900
  • Fax: 732-291-9822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00526100
License Number StateNJ

VIII. Authorized Official

Name: MR. RICHARD P STRYKER
Title or Position: VP/PRINCIPAL/PHARMACIST
Credential: RP
Phone: 732-291-2900