NPI | 1902142888 |
---|---|
Doing Business As | SHOPRITE PHARMACY OF COLONIE |
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 | 2012-12-20 |
Last Update Date | 2013-10-01 |