# WAKEFERN FOOD CORP

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

## Provider details

- **NPI number:** 1699186403
- **Authorized official:** MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (732) 521-8439

## Contact information

- **Practice address:** 5000 RIVERSIDE DR, KEASBEY, NJ 08832-1209
- **Practice address phone:** (732) 521-8439
- **Mailing address:** 355 DAVIDSONS MILL RD, JAMESBURG, NJ 08831-3014

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2014
- **Last updated:** 05/14/2014