| NPI | 1366981847 |
|---|---|
| Doing Business As | SHOPRITE PHARMACY 807 |
| 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 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-03-27 |