Organization
TRIPUTI BROTHERS LLC
Active
Other names
shopsmart food & pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAN SHAH R.PH (AUTHORIZED MEMBER)
(908) 355-2400
Entity
Organization
Contact information
Practice address
570 N BROAD ST STE D, ELIZABETH, NJ 07208-4301
(908) 355-2400
Mailing address
570 N BROAD ST STE D, ELIZABETH, NJ 07208-4301
(908) 355-2400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00645800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062961
—
NJ
Enumeration date
02/08/2007
Last updated
09/15/2015
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