NPI | 1245672237 |
---|---|
Doing Business As | SHOPRITE PHARMACY OF EAST HAVEN |
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: CT PCY0002277) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2013-07-19 |
Last Update Date | 2018-07-19 |