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Organization

SHOP RITE OF HUNTERDON COUNTY INC

Active
Other names
Shoprite of Bethlehem
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization

Contact information

Practice address
4701 FREEMANSBURG AVE, EASTON, PA 18045-5529
(610) 865-2575
(610) 865-2913
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
(908) 454-7553

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482563
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1029998280002
PA
01
2150926
PK
Enumeration date
03/12/2015
Last updated
02/16/2017
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