Organization
SHOPRITE OF OAKLAND INC
Active
Other names
Shoprite Pharmacy Dept
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
14 POST RD, OAKLAND, NJ 07436-1614
(201) 405-0707
(201) 651-0506
Mailing address
14 POST RD, OAKLAND, NJ 07436-1614
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS005398
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3138650
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7195907
—
NJ
Enumeration date
08/20/2006
Last updated
10/20/2011
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