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
622 ROUTE 206 MARTIN AVE, BORDENTOWN, NJ 08505
(609) 298-8787
(609) 298-0421
Mailing address
922 HIGHWAY 33, BUILDING 6, FREEHOLD, NJ 07728-8439
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS006166
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055930
—
NJ
01
—
0055948
MEDICAID DME
NJ
01
—
3146138
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
08/11/2010
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