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
1750 N OLDEN AVENUE EXT, TRENTON, NJ 08638-3100
(609) 219-0076
(609) 219-0655
Mailing address
922 HIGHWAY 33, BUILDING 6, FREEHOLD, NJ 07728-8439
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS006206
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3145023
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
9010505
—
NJ
01
—
9010513
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
08/11/2010
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