Organization
SHOPRITE SUPERMARKETS, INC
Active
Other names
SHOPRITE PHARMACY OF MONTAGUE
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
10A RT. 23, TRI STATE MALL, MONTAGUE, NJ 07827
(973) 293-3273
(973) 293-7266
Mailing address
PO BOX 29010, NEW YORK, NY 10087-9010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS006174
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144514
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7355408
—
NJ
Enumeration date
08/20/2006
Last updated
05/26/2010
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