| NPI | 1346512001 |
|---|---|
| Doing Business As | SHOPRITE PHARMACY OF WEST 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 PCY0002230) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2015-11-09 |