Organization
SHOPRITE SUPERMARKETS INC.
Active
Other names
ShopRite Pharmacy of Wallkill
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA-RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
20 LLOYDS LANE, MIDDLETOWN, NY 10940
(845) 341-2104
Mailing address
PO BOX 29010, NEW YORK, NY 10087-9010
(845) 341-2104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3355220
NCPDP
—
Enumeration date
07/25/2007
Last updated
05/25/2010
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