# LAWNSIDE SHOPRITE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shoprite Pharmacy of Lawnside
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053650119
- **Authorized official:** MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (732) 521-8439

## Contact information

- **Practice address:** 130 WHITE HORSE PIKE N, LAWNSIDE, NJ 08045-1128
- **Practice address phone:** (856) 627-6501
- **Mailing address:** 1230 BLACKWOOD CLEMENTON RD, CLEMENTON, NJ 08021-5632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2013
- **Last updated:** 12/30/2014