# RACETRACK SUPERMARKET LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHOPRITE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275648057
- **Authorized official:** MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (732) 521-8439

## Contact information

- **Practice address:** 2230 ROUTE 70 W \# 40, CHERRY HILL, NJ 08002-3338
- **Practice address phone:** (856) 910-2320
- **Practice address fax:** (856) 910-2322
- **Mailing address:** PO BOX 15169, NEWARK, NJ 07192-5169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00569600 | NJ | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 10/11/2017