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Organization

SHOPRITE OF WARMINSTER LLC

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
942 W STREET RD, WARMINSTER, PA 18974-3124
(215) 328-4707
(215) 328-8190
Mailing address
PO BOX 826875, PHILADELPHIA, PA 19182-6875
(215) 328-4707
(215) 328-8190

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP415358L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024458660001
PA
01
2123548
PK
Enumeration date
01/15/2010
Last updated
05/12/2016
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