Organization
AMMONS SUPERMARKET LLC
Active
Other names
Shoprite Pharmacy Dept #482
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
3745 ARAMINGO AVE, PHILADELPHIA, PA 19137-1001
(215) 288-2828
(215) 288-7314
Mailing address
3745 ARAMINGO AVE, PHILADELPHIA, PA 19137-1001
(215) 288-2828
(215) 288-7314
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP415496L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017895380001
—
PA
01
—
3975224
NCPDP
PA
01
—
PP415496L
STATE LICENSE
PA
Enumeration date
02/15/2007
Last updated
08/13/2025
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