Organization
COLLINS MARKETS LLC
Active
Other names
SHOPRITE PHARMACY OF EDDYSTONE
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1568 CHESTER PIKE, UNIT B1, EDDYSTONE, PA 19022-1338
(610) 471-0360
(610) 471-0362
Mailing address
PO BOX 15169, NEWARK, NJ 07192
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481441
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013206150001
—
PA
01
—
2087196
PK
—
Enumeration date
08/20/2006
Last updated
08/24/2017
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