Organization
ICARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR TAMMOUS R. PH. (PHARMACY IN CHARGER)
(973) 429-0444
Entity
Organization
Contact information
Practice address
194 BROAD ST STE B, BLOOMFIELD, NJ 07003-2606
(973) 429-0444
(973) 429-0440
Mailing address
194 BROAD ST STE B, BLOOMFIELD, NJ 07003-2606
(973) 429-0444
(973) 429-0440
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
28RS00731500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00731500
PHARMACY PERMIT NUMBER
NJ
Enumeration date
01/27/2014
Last updated
05/30/2014
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