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Organization
ATLANTICARE REGIONAL MEDICAL CENTER
Active
Organization
ATLANTICARE REGIONAL MEDICAL CENTER
Active
Other names
AtlantiCare Pharmacy at Pomona
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MELENDEZ (SENIOR DIRECTOR FINANCE)
(609) 833-9988
Entity
Organization
Contact information
Practice address
54 W JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9401
(609) 404-7444
(609) 404-7445
Mailing address
54 W JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9438
(609) 404-7444
(609) 404-7445
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00706800
NJ
3336I0012X
Institutional Pharmacy
Primary
28RS00706800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3197262
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/08/2010
Last updated
02/23/2026
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