Organization
SHOPRITE SUPERMARKETS, INC
Active
Other names
Shoprite Pharmacy of Albany
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
709 CENTRAL AVE, ALBANY, NY 12206-1601
(518) 243-4568
Mailing address
PO BOX 29010, NEW YORK, NY 10087-9010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03470293
—
NY
Enumeration date
10/25/2011
Last updated
10/08/2012
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