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General NPI Number Information
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NPI Number | 1053835546
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Entity Type | Organization
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Legal Business Name | ATLANTICARE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 07/27/2017
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Provider Practice Location Address
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Address Line | 517 ROUTE 72 W STE G
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2821
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Country | US
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Telephone | 609-704-6800
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Fax | 609-704-6801
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Provider Business Mailing Address
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Address Line | 54 W JIMMIE LEEDS RD
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City | GALLOWAY
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State | NJ
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Zip | 08205-9438
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIR BUSINESS DEVELOPMENT PHARMACY
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Name | STEVEN MOSCOLA
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Credential |
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Telephone | 609-441-7081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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