Organization
SHOPRITE OF LINCOLN PARK INC
Active
Other names
SHOPRITE PHARMACY 297
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA-RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
60 BEAVERBROOK RD, LINCOLN PARK, NJ 07035-1771
(973) 694-7141
(973) 694-1528
Mailing address
60 BEAVERBROOK RD, LINCOLN PARK, NJ 07035-1771
(973) 694-7141
(973) 694-1528
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00625400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058375
PK
—
05
—
4388402
—
NJ
Enumeration date
08/20/2006
Last updated
09/19/2025
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