Organization
SAKER SHOPRITES INC
Active
Other names
Shoprite Pharmacy of Somerville
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1 DAVENPORT ST, SOMERVILLE, NJ 08876-2101
(908) 203-0888
(908) 203-0377
Mailing address
922 HITHWAY #33, BUILDING 6, FREEHOLD, NJ 07728
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00715000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285714
—
NJ
01
—
3198187
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/23/2011
Last updated
08/10/2012
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