Organization
SHOP RITE OF ENGLEWOOD ASSOCIATES INC
Active
Other names
SHOPRITE PHARMACY OF WHARTON
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
314 ROUTE 15, WHARTON, NJ 07885
(973) 361-9315
(973) 361-0544
Mailing address
314 ROUTE 15, WHARTON, NJ 07885
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00600300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054880
PK
—
05
—
8770409
—
NJ
Enumeration date
08/20/2006
Last updated
08/25/2016
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