Organization
SHOPRITE SUPERMARKETS, INC
Active
Other names
SHOPRITE PHARMACY OF CHESTER
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
78 BROOKSIDE AVE, CHESTER, NY 10918-1059
(845) 469-7859
(845) 469-6050
Mailing address
PO BOX 29010, NEW YORK, NY 10087-9010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
025416
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02060855
—
NY
01
—
3326041
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
05/26/2010
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