Organization
SAKER SHOPRITES INC
Active
Other names
ShopRite Pharmacy #616
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E FELLER (CHIEF PRIVACY AND SECURITY OFFICER)
(732) 294-2278
Entity
Organization
Contact information
Practice address
260 N COUNTY LINE RD, JACKSON, NJ 08527-4473
(732) 886-7006
(732) 886-5016
Mailing address
10 CENTERVILLE RD, HOLMDEL, NJ 07733-1103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS006094
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144134
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8772509
—
NJ
01
—
8772517
MEDICAID DME
—
Enumeration date
08/20/2006
Last updated
12/30/2021
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