Organization
BROWNS BROOKLAWN INC
Active
Other names
SHOPRITE PHARMACY OF BROOKLAWN
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
RTE 130 AND BROWNING RD, BROOKLAWN, NJ 08030
(856) 742-8700
(856) 742-0906
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00667300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159042
—
NJ
01
—
3194088
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/06/2007
Last updated
08/27/2012
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