Organization
BROWNS CH LLC
Active
Other names
ShopRite Pharmacy Cheltenham
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
2471 W CHELTENHAM AVENUE, STE A, PHILADELPHIA, PA 19150
(215) 885-7779
(215) 885-7363
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
(215) 885-7779
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415003L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007500400001
—
PA
01
—
2082401
PK
—
Enumeration date
08/20/2006
Last updated
11/13/2018
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