Atlanticare Physician Group Pa
Non-pharmacy Dispensing Site
110 E Jimmie Leeds Rd, Galloway
New Jersey, 08205-9508
609-748-2100 Atlanticare Physician Group Pa is not a DME supplier for medicare equipments and products.
Atlanticare Physician Group Pa is a Non-pharmacy Dispensing Site in Galloway, New Jersey. This organization is also known as sub part of Medvantx, Inc.. It is located at 110 E Jimmie Leeds Rd, Galloway and it's customer support contact number is 609-748-2100. The authorized person of Atlanticare Physician Group Pa is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-964-1506. Active license number of Atlanticare Physician Group Pa is 25MB05380400 for Non-pharmacy Dispensing Site in New Jersey.
Atlanticare Physician Group Pa is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Atlanticare Physician Group Pa type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Atlanticare Physician Group Pa |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 110 E Jimmie Leeds Rd, Galloway, New Jersey, 08205-9508 |
| Phone: | 609-748-2100 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Vp Of Operations |
| Contact Number: | 858-964-1506 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1083000707 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 09 Apr, 2015 |
| NPI Last Update On: | 29 Apr, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Atlanticare Physician Group Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 25MB05380400 | New Jersey | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5626 Oberlin Dr, Suite 110 San Diego, California |
| Zip: | 92121-1705 |
| Phone Number: | -- |
Patients can reach Atlanticare Physician Group Pa at
110 E Jimmie Leeds Rd, Galloway, New Jersey or can
call on customer care at 609-748-2100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.