Organization
SHOPRITE SUPERMARKETS, INC
Active
Other names
SHOPRITE PHARMACY 163
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
76 CENTRAL AVE, CLARK, NJ 07066-1422
(732) 381-1133
(732) 381-7191
Mailing address
PO BOX 29010, NEW YORK, NY 10087-9010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS002521
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3118747
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4314107
—
NJ
Enumeration date
08/20/2006
Last updated
05/25/2010
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