Organization
KRE INC
Active
Other names
SHOPRITE OF HAINESPORT
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1520 ROUTE 38 BLDG 20, HAINESPORT, NJ 08036-2901
(609) 518-5201
(609) 518-5216
Mailing address
1520 ROUTE 38, BUILDING 20, HAINESPORT, NJ 08036-2901
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS006265
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2739
—
NJ
01
—
3145338
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
03/30/2011
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