Organization
SHOPRITE SUPERMARKETS, 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
801 MIRON LANE, KINGSTON, NY 12401-0000
(845) 336-7833
(845) 382-1102
Mailing address
P.O. BOX 29010, NEW YORK, NY 10087
(845) 336-7833
(845) 382-1102
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00524992
—
NY
01
—
3326039
NCPDP
NY
Enumeration date
02/06/2007
Last updated
04/05/2011
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