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
14-22 PROSPECT AVE, EAST BRUNSWICK, NJ 08816
(732) 238-4646
(732) 257-1440
Mailing address
14-22 PROSPECT AVE, EAST BRUNSWICK, NJ 08816
(732) 238-4646
(732) 257-1440
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS004243
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3130438
NCPDP
NJ
05
—
4403100
—
NJ
01
—
4403118
MEDICAID DME
NJ
Enumeration date
08/20/2006
Last updated
08/11/2010
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