Organization
SHOPRITE PHARMACY OF PENNINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA GADKARI (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
2555 PENNINGTON RD, PENNINGTON, NJ 08534-3216
(609) 737-0606
Mailing address
2555 PENNINGTON RD, PENNINGTON, NJ 08534-3216
(609) 737-0606
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3193062
NCPDP
NJ
05
—
8177406
—
NJ
Enumeration date
01/24/2007
Last updated
08/22/2020
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