Organization
SHOPRITE SUPERMARKETS 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
278 TUCKAHOE RD, YONKERS, NY 10710
(914) 793-8300
Mailing address
PO BOX 29010, NEW YORK, NY 10087-2901
(914) 793-8300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
025413
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01795995
—
NY
01
—
3326091
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
05/06/2010
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