Organization
SHOPRITE OF LIBERTY HEIGHTS, LLC
Active
Other names
Shoprite Pharmacy of Howard Park
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
4601 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21207-7553
(410) 666-1700
Mailing address
2101 ROCK SPRING RD, FOREST HILL, MD 21050-2617
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
03/14/2016
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