Organization
SICKLERVILLE SHOPRITE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINSTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
542 BERLIN-CROSS KEYS ROAD, SICKLERVILLE, NJ 08081
(856) 262-0902
(856) 262-3190
Mailing address
1230 BLACKWOOD CLEMENTON RD, CLEMENTON, NJ 08021-5632
(856) 262-0902
(856) 262-3190
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3194608
NCPDP
NJ
Enumeration date
07/25/2007
Last updated
01/15/2016
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