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
318 LLOYD RD, ABERDEEN, NJ 07747-1882
(732) 583-2223
(732) 566-6686
Mailing address
318 LLOYD RD, ABERDEEN, NJ 07747-1882
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS000957
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3117492
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4299604
—
NJ
01
—
4299612
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
08/12/2010
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