Organization
SAKER SHOPRITE'S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
ROUTE 9 AND SOUTH STREET, FREEHOLD, NJ 07728
(732) 409-3520
(732) 462-9896
Mailing address
ROUTE 9 AND SOUTH STREET, FREEHOLD, NJ 07728
(732) 409-3520
(732) 462-9896
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RS004377
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2564106
MEDICAID DME
NJ
01
—
3131389
NCPDP
NJ
05
—
4414705
—
NJ
Enumeration date
02/15/2007
Last updated
08/12/2010
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