Organization
BROWNS SUPERSTORES INC
Active
Organization
BROWNS SUPERSTORES INC
Active
Other names
ShopRite Pharmacy of Roxborough 519
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
6901 RIDGE AVE, PHILADELPHIA, PA 19128-3209
(215) 482-7900
(215) 482-4894
Mailing address
355 DAVIDSONS MILL RD, JAMESBURG, NJ 08831-3014
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481426
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039836581441
—
PA
01
—
3983651
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
02/16/2012
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