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Organization
INSERRA SUPERMARKETS INC
Active
Organization
INSERRA SUPERMARKETS INC
Active
Other names
Shoprite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
375 PATERSON AVE, WALLINGTON, NJ 07057-2101
(973) 471-7575
(973) 471-2198
Mailing address
PO BOX 781250, PHILADELPHIA, PA 19178-1250
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS004991
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
08/20/2006
Last updated
12/08/2015
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