Organization
SAKER SHOPRITES INC.
Active
Other names
Shoprite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
400 RENAISSANCE BLVD, NORTH BRUNSWICK, NJ 08902-5100
(732) 940-9451
(732) 940-7692
Mailing address
400 RENAISSANCE BLVD, NORTH BRUNSWICK, NJ 08902-5100
(732) 940-9451
(732) 940-7692
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS004241
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3130426
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4403304
—
NJ
01
—
4403312
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
08/11/2010
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