NPI | 1073629499 |
---|---|
Doing Business As | SHOPRITE PHARMACY #533 |
Entity Type | Organization |
Authorized Contact | MELISSA FIGUEROA RIVERA Third Party Administrator 732-521-8439 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: NJ RS006553000) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2010-08-11 |