Organization
SHOPRITE SUPERMARKETS, INC
Active
Other names
SHOPRITE PHARMACY OF MONTICELLO
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
4440 STATE ROUTE 42, MONTICELLO, NY 12701-4844
(845) 794-0237
(845) 794-0257
Mailing address
POST OFC, PO BOX 29010, NEW YORK, NY 10087-9010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
025415
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02060855
—
NY
01
—
3325948
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
06/06/2011
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