Organization
RONETCO SUPERMARKETS, INC
Active
Other names
ShopRite Pharmacy Department of Sparta
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
18 NORTH VILLAGE BOULEVARD, SPARTA, NJ 07871
(973) 927-8300
Mailing address
1070 US HIGHWAY 46 STE 17, LEDGEWOOD, NJ 07852-9735
(973) 927-3000
(973) 927-4953
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0727636
—
NJ
01
—
3156482
NCPDP
NJ
Enumeration date
06/07/2019
Last updated
11/21/2024
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