Organization
SHOPRITE SUPERMARKETS, INC
Active
Other names
Shoprite Pharmacy of Niskayuna
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
2333 NOTT ST E, NISKAYUNA, NY 12309-4302
(518) 243-4568
(518) 243-4570
Mailing address
PO BOX 29010, NEW YORK, NY 10087-9010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5803451
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2011
Last updated
04/09/2012
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