Organization Name: | POMAC LLC |
NPI Number: | 1154500684 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON L SHRETER (EXECUTIVE DIRECTOR) |
Mailing Address: | 365 C New Albany Road Moorestown |
State: | NJ US |
Postal Code: | 08057 |
Phone Number: | 8562739636 |
Fax Number: | 8562737886 |
NPI Enumeration Date: | 11/01/2007 |
NPI Last Update Date: | 12/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |