Organization
EICKHOFF SUPERMARKETS, INC.
Active
Other names
SHOPRITE PHARMACY OF DELRAN
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1310 FAIRVIEW BLVD, DELRAN, NJ 08075-1446
(856) 824-1102
(856) 824-1108
Mailing address
1310 FAIRVIEW BLVD, DELRAN, NJ 08075-1446
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS006318
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21920
—
NJ
01
—
3145732
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
03/30/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us