Organization
ATLANTICARE HEALTH SERVICES, INC.
Active
Parent organization
ATLANTICARE HEALTH SERVICES, INC.
Other names
AtlantiCare Community Pharmacy - Manahawkin
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTICARE HEALTH SERVICES, INC.
Authorized official
STEVEN MOSCOLA (DIR BUSINESS DEVELOPMENT PHARMACY)
(609) 441-7081
Entity
Organization
Contact information
Practice address
517 ROUTE 72 W STE G, MANAHAWKIN, NJ 08050-2821
(609) 704-6800
(609) 704-6801
Mailing address
54 W JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9438
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00757300
NJ BOARD OF PHARMACY
—
Enumeration date
07/27/2017
Last updated
07/27/2017
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