Organization
SAKER SHOPRITES INC.
Active
Other names
Shoprite Pharmacy #522
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
877 SAINT GEORGE AVE, WOODBRIDGE, NJ 07095-2514
(732) 636-4151
(732) 636-7123
Mailing address
877 SAINT GEORGE AVE, WOODBRIDGE, NJ 07095-2514
(732) 636-4151
(732) 636-7123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS004240
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3130414
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4403207
—
NJ
01
—
4403215
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
08/11/2010
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