Organization
SAKER SHOPRITES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
RT 1 OLD POST RD, EDISON, NJ 08817
(732) 819-8573
(732) 819-8390
Mailing address
RT 1 OLD POST RD, EDISON, NJ 08817
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS04242
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3145162
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
9093907
—
NJ
01
—
9093915
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
08/11/2010
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