Organization
SAKER SHOPRITE'S INC
Active
Other names
Saker ShopRites Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
611 W UNION AVE, BOUND BROOK, NJ 08805-1165
(732) 302-9070
(732) 469-5159
Mailing address
922 HIGHWAY 33, BUILDING 6, FREEHOLD, NJ 07728-8439
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS005637
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3140201
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7749805
—
NJ
01
—
7749813
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
08/10/2010
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