Organization
FOOD CIRCUS SUPERMARKET
Active
Other names
SUPER FOOD TOWN
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SCHNEIDER (DIR OF PHCY OPER)
(732) 380-7886
Entity
Organization
Contact information
Practice address
179 NEWMAN SPRINGS RD E, SHREWSBURY, NJ 07702-4032
(732) 212-0217
(732) 212-0219
Mailing address
179 NEWMAN SPRINGS RD E, SHREWSBURY, NJ 07702-4032
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3194800
OTHER ID NUMBER
—
Enumeration date
11/09/2007
Last updated
11/14/2007
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