Organization
SAKER SHOPRITE'S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
2220 HIGHWAY 66, NEPTUNE, NJ 07753
(732) 775-4251
(732) 775-8843
Mailing address
2220 HIGHWAY 66, NEPTUNE, NJ 07753
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS002172
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3112074
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4268504
—
NJ
01
—
4268512
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
08/10/2010
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