Organization
SHOPRITE OF CHRISTINA CROSSING LLC
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
501 S WALNUT ST, WILMINGTON, DE 19801
(302) 225-6888
(302) 225-6889
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
(302) 225-6888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
A3-0000895
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118213
PK
—
Enumeration date
10/30/2008
Last updated
05/25/2018
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