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Organization
LAWNSIDE SHOPRITE LLC
Active
Organization
LAWNSIDE SHOPRITE LLC
Active
Other names
Shoprite Pharmacy of Lawnside
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
130 WHITE HORSE PIKE N, LAWNSIDE, NJ 08045-1128
(856) 627-6501
Mailing address
1230 BLACKWOOD CLEMENTON RD, CLEMENTON, NJ 08021-5632
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
02/11/2013
Last updated
12/30/2014
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