Organization
MCMENAMIN FAMILY SHOPRITE INC.
Active
Other names
Shoprite Pharmacy of Morrell Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
9910 FRANKFORD AVE, STE 240, PHILADELPHIA, PA 19114-1900
(215) 637-1555
(215) 824-1765
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
(215) 824-1830
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481881
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022704290001
—
PA
01
—
2117542
PK
—
Enumeration date
10/21/2008
Last updated
09/19/2025
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