NPI | 1053428243 |
---|---|
Doing Business As | KLEINS SHOPRITE PHARMACY #545 |
Entity Type | Organization |
Authorized Contact | MELISSA FIGUEROA RIVERA Third Party Administrator 732-521-8439 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P00889) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2006-08-24 |
Last Update Date | 2009-08-25 |