Organization
WAKEFERN FOOD CORP
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
5000 RIVERSIDE DR, KEASBEY, NJ 08832-1209
(732) 521-8439
Mailing address
355 DAVIDSONS MILL RD, JAMESBURG, NJ 08831-3014
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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