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Organization

SHOPRITE SUPERMARKETS, INC

Active
Other names
Shoprite Pharmacy
Organization subpart
No

Provider details

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

Contact information

Practice address
8 JOYCE RD, NEW ROCHELLE, NY 10801-4320
(914) 740-9767
(914) 740-9769
Mailing address
PO BOX 29010, NEW YORK, NY 10087-9010
(914) 740-9767
(914) 740-9769

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03196930
NY
Enumeration date
12/24/2009
Last updated
06/24/2010
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