Organization
TAMP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE A POMARICO BS PHARMACY (PRESIDENT /PHARMACIST)
(201) 434-8062
Entity
Organization
Contact information
Practice address
239 OLD BERGEN RD, JERSEY CITY, NJ 07305-2620
(201) 434-8016
(201) 434-7596
Mailing address
239 OLD BERGEN RD, JERSEY CITY, NJ 07305-2620
(201) 434-8016
(201) 434-7596
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00018400
NJ
332BC3200X
Customized Equipment (DME)
28RS00018400
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00018400
NJ
3336H0001X
Home Infusion Therapy Pharmacy
28RS00018400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4271203
—
NJ
Enumeration date
08/04/2006
Last updated
09/15/2017
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