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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