NPI | 1639268097 |
---|---|
Doing Business As | SHOP RITE PHARMACY OF NEW LONDON |
Entity Type | Organization |
Authorized Contact | MELISSA FIGUEORA RIVERA Third Party Administrator 732-521-8439 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT PCY0001743) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-10-12 |
Last Update Date | 2015-01-08 |