4977, LLC

BRIDGETON, NJ
NPI1538274311
Doing Business AsSHOPRITE PHARMACY UPPER DEERFIELD
Entity TypeOrganization
Authorized ContactMELISSA FIGUEROA RIVERA
Third Party Administrator
732-521-8439
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
(Licence: NJ  RS005859)
Additional Taxonomies3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date2006-08-20
Last Update Date2012-08-10
Business Address
4977, LLC
1000 N PEARL ST
BRIDGETON, NJ 08302-1215
Phone number: 856-453-5993
Mailing Address
4977, LLC
1000 N PEARL ST
BRIDGETON, NJ 08302-1215
Phone number:
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