Organization
SAKER SHOPRITE'S INC
Active
Other names
SHOPRITE PHARMACY 500
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
3373 US HIGHWAY 1, LAWRENCEVILLE, NJ 08648-2414
(609) 275-8042
(609) 275-3685
Mailing address
922 HIGHWAY 33, BUILDING 6, FREEHOLD, NJ 07728-8439
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS006363
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034240
—
NJ
01
—
0034248
MEDICAID DME
NJ
01
—
3145996
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
08/11/2010
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