Organization
LAWNSIDE SHOPRITE LLC
Active
Other names
Shoprite Pharmacy of Lawnside
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
130 WHITE HORSE PIKE N, LAWNSIDE, NJ 08045-1128
(856) 627-6501
Mailing address
1230 BLACKWOOD CLEMENTON RD, CLEMENTON, NJ 08021-5632
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/11/2013
Last updated
12/30/2014
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