| NPI | 1790823706 |
|---|---|
| Doing Business As | SHOPRITE PHARMACY OF LODI |
| Entity Type | Organization |
| Authorized Contact | MELISSA FIGUEROA RIVERA Third Party Administrator 732-521-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ RS003702) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-08-03 |