Organization
FOOD PARADE INC
Active
Other names
ShopRite Pharmacy 807
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA-RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1675 OLD COUNTRY RD, PLAINVIEW, NY 11803-5036
(631) 864-0828
(631) 864-0874
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
(732) 346-8862
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168226
PK
—
Enumeration date
02/17/2017
Last updated
03/27/2017
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