Organization
SHOP RITE OF ENGLEWOOD ASSOCIATES INC
Active
Other names
SHOPRITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOOMIN KIM (PHARMACIST)
(201) 563-2722
Entity
Organization
Contact information
Practice address
40 NATHANIEL PL, ENGLEWOOD, NJ 07631-2736
(201) 816-8322
(201) 816-1768
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00472800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052449
PK
—
05
—
5402905
—
NJ
Enumeration date
08/20/2006
Last updated
09/12/2018
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