Organization
SHOPRITE OF CARTERET INC
Active
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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