NPI | 1932449428 |
---|---|
Doing Business As | SHOPRITE PHARMACY #430 |
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 PP482387) |
Enumeration Date | 2013-02-21 |
Last Update Date | 2015-08-04 |