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Organization
MOUNT LAUREL SUPERMARKET INC
Active
Organization
MOUNT LAUREL SUPERMARKET 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
1000 NIXON DR, MOUNT LAUREL, NJ 08054-1171
(856) 439-1144
(856) 436-1348
Mailing address
1000 NIXON DR, MOUNT LAUREL, NJ 08054-1171
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS004934
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
08/20/2006
Last updated
11/20/2018
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