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
4594 US HIGHWAY 9, HOWELL, NJ 07731-3771
(732) 363-9245
(732) 370-8024
Mailing address
922 HIGHWAY 33, BUILDING 6, FREEHOLD, NJ 07728-8439
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS002171
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3110765
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4268601
—
NJ
01
—
4268610
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
05/03/2015
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