| NPI | 1790178929 |
|---|---|
| Doing Business As | SHOPRITE OF BETHLEHEM |
| 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: PA PP482563) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2017-02-16 |