Organization
SHOPRITE OF WARMINSTER LLC
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
595 W STATE ST, DOYLESTOWN, PA 18901-2554
(215) 328-1509
(215) 328-1671
Mailing address
PO BOX 826875, PHILADELPHIA, PA 19182-6875
(215) 348-1503
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482481
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145288
PK
—
Enumeration date
03/28/2014
Last updated
05/12/2016
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