| NPI | 1629268875 |
|---|---|
| Doing Business As | SHOPRITE PHARMACY OF WALLKILL |
| Entity Type | Organization |
| Authorized Contact | MELISSA FIGUEROA-RIVERA Third Party Administrator 732-521-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2010-05-25 |