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
2433 HIGHWAY 34, MANASQUAN, NJ 08736-1807
(732) 528-8161
(732) 528-0507
Mailing address
922 HIGHWAY 33, BUILDING 6, FREEHOLD, NJ 07728-8439
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS002170
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3107263
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4268709
—
NJ
01
—
4268717
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
02/06/2014
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