Organization
SAKER SHOPRITES INC
Active
Other names
ShopRite Pharmacy #533
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
2555 PENNINGTON RD, PENNINGTON, NJ 08534-3216
(609) 737-0606
(609) 737-0430
Mailing address
2555 PENNINGTON RD, PENNINGTON, NJ 08534-3216
(609) 737-0606
(609) 737-0430
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS006553000
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096539
MEDICAID DME
NJ
01
—
3193062
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8177406
—
NJ
Enumeration date
08/21/2006
Last updated
08/11/2010
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