Organization
SAKER SHOPRITES INC.
Active
Other names
Shoprite Pharmacy #521
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
130 MARKETPLACE BLVD, TRENTON, NJ 08691-2103
(609) 581-5827
(609) 581-7783
Mailing address
130 MARKETPLACE BLVD, TRENTON, NJ 08691-2103
(609) 581-5827
(609) 581-7783
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS006304
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012203
—
NJ
01
—
0012211
MEDICAID DME
NJ
01
—
3145643
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
08/11/2010
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