# BERAT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shoprite Pharmacy \#554
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376658153
- **Authorized official:** MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (732) 521-8439

## Contact information

- **Practice address:** 201 DALTON DRIVE, GLASSBORO, NJ 08028
- **Practice address phone:** (856) 863-3668
- **Practice address fax:** (856) 863-3685
- **Mailing address:** 1230 BLACKWOOD CLEMENTON RD, CLEMENTON, NJ 08021-5632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | RS005419 | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 09/28/2010
