Provider Demographics
NPI:1134534183
Name:CAMCOR,INC.
Entity type:Organization
Organization Name:CAMCOR,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:CAMMARATA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:908-658-4900
Mailing Address - Street 1:PO BOX 407
Mailing Address - Street 2:
Mailing Address - City:PLUCKEMIN
Mailing Address - State:NJ
Mailing Address - Zip Code:07978-0407
Mailing Address - Country:US
Mailing Address - Phone:908-658-4900
Mailing Address - Fax:908-658-4132
Practice Address - Street 1:75 WASHINGTON VALLEY RD
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-2119
Practice Address - Country:US
Practice Address - Phone:908-658-4900
Practice Address - Fax:908-658-4132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-29
Last Update Date:2014-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI014687003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy