Organization
INSERRA SUPERMARKET 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
22 HOLT DR, STONY POINT, NY 10980
(732) 521-8439
Mailing address
PO BOX 8500-51250, PHILADELPHIA, PA 19178-0001
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/17/2010
Last updated
05/11/2017
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