Organization
SUNRISE SHOPRITE INC
Active
Other names
SHOPRITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE BONANTE (ACCOUNTANT)
(973) 575-1770
Entity
Organization
Contact information
Practice address
540 PASSAIC AVE, WEST CALDWELL, NJ 07006-7449
(973) 575-0030
(973) 575-0342
Mailing address
540 PASSAIC AVE, WEST CALDWELL, NJ 07006-7449
(973) 575-1770
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00410200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2057386
PK
—
05
—
4321006
—
NJ
Enumeration date
08/20/2006
Last updated
02/22/2019
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