Organization
SHOPRITE SUPERMARKETS, INC
Active
Other names
SHOPRITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA-RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
380 SUMMERHILL RD, SPOTSWOOD, NJ 08884-1239
(732) 251-5214
(732) 251-9425
Mailing address
PO BOX 29010, NEW YORK, NY 10087-9010
(732) 251-5214
(732) 251-9425
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
004799
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3134501
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
5600308
—
NJ
Enumeration date
08/20/2006
Last updated
07/20/2010
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