Organization
SHOPRITE OF HUNTERDON COUNTY INC
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
272 HIGHWAY 202 AND RT 31, FLEMINGTON, NJ 08822
(908) 782-2554
(908) 782-9138
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
(908) 782-2554
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00582000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3141948
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
8154902
—
NJ
Enumeration date
08/20/2006
Last updated
08/27/2012
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