Organization
SAKER SHOPRITES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
ROUTE 71 AND ROUTE36, WEST LONG BRANCH, NJ 07764
(732) 542-6010
(732) 542-7875
Mailing address
ROUTE 71 AND ROUTE36, WEST LONG BRANCH, NJ 07764
(732) 542-6010
(732) 542-7875
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RS002184
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3117113
NCPDP
NJ
05
—
4303903
—
NJ
01
—
4303911
MEDICAID DME
NJ
Enumeration date
02/22/2007
Last updated
08/12/2010
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