Organization
RONETCO SUPERMARKETS, INC
Active
Other names
SHOPRITE PHARMACY OF MANSFIELD
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
1965 STATE ROUTE 57, HACKETTSTOWN, NJ 07840-3475
(908) 852-2309
(908) 852-0860
Mailing address
1070 US HIGHWAY 46 STE 17, LEDGEWOOD, NJ 07852-9701
(973) 927-8300
(973) 927-4953
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS00654600
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092070
—
NJ
01
—
3193074
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
11/21/2024
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