Organization
ROCKAWAY SHOPRITE ASSOCIATES 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
365 CONVERY BLVD, PERTH AMBOY, NJ 08861-3741
(732) 442-4333
(732) 442-2561
Mailing address
365 CONVERY BLVD, PERTH AMBOY, NJ 08861-3741
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00523700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3137432
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6787509
—
NJ
Enumeration date
08/20/2006
Last updated
06/28/2011
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