Organization
SHOPRITE OF CARTERET INC
Active
Other names
Shoprite Pharmacy of Carteret
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
801 ROOSEVELT AVE, CARTERET, NJ 07008-2345
(732) 541-6824
(732) 541-4835
Mailing address
801 ROOSEVELT AVE, CARTERET, NJ 07008-2345
(732) 541-6824
(732) 541-4835
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00595900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054796
PK
—
05
—
8509409
—
NJ
Enumeration date
08/20/2006
Last updated
07/19/2018
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