Organization
SAKER SHOPRITES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1500 STATE ROUTE 35, MIDDLETOWN, NJ 07748-1831
(732) 671-1313
(732) 796-0726
Mailing address
10 CENTERVILLE RD, HOLMDEL, NJ 07733-1103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS006058
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3143928
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8695407
—
NJ
01
—
8695415
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
10/22/2021
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