Shoprite Pharmacy Upper Deerfield
LBN: 4977, Llc
Shoprite Pharmacy Upper Deerfield is an health care organization with primary practice located at 1000 N Pearl St , Bridgeton NJ 08302-1215. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
4977, Llc can be contacted via phone (856) 453-5993, or through Figueroa Rivera, Melissa via phone (732) 521-8439.
Contact Information
Primary practice address
1000 N Pearl St
Bridgeton NJ 08302-1215
Phone: (856) 453-5993
Fax: (856) 453-8631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | RS005859 | New Jersey |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1538274311 |
|---|---|
| LBN Legal business name | 4977, Llc |
| DBA Doing business as | Shoprite Pharmacy Upper Deerfield |
| Authorized official | Figueroa Rivera, Melissa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 10th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538274311 | NPPES |
| Other | 3142217 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 8611602 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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