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Organization

SAKER SHOPRITES INC

Active
Other names
Shoprite Pharmacy Dept #638
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization

Contact information

Practice address
1732 HIGHWAY 35, WALL TOWNSHIP, NJ 07719-3440
(732) 681-0550
(732) 681-5463
Mailing address
10 CENTERVILLE RD, HOLMDEL, NJ 07733-1103

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS002169
NJ
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3116488
OTHER ID NUMBER-COMMERCIAL NUMBER
05
4268806
NJ
01
4268814
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
06/18/2021
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