Shoprite Pharmacy

LBN: Mount Laurel Supermarket Inc
Shoprite Pharmacy is an health care organization with primary practice located at 1000 Nixon Dr , Mount Laurel NJ 08054-1171. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mount Laurel Supermarket Inc can be contacted via phone (856) 439-1144, or through Figueroa Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
1000 Nixon Dr Mount Laurel NJ 08054-1171
Phone: (856) 439-1144
Fax: (856) 436-1348
Website:
Map and Directions
Authorized official contact:
Name: Figueroa Rivera, Melissa
Phone: (732) 521-8439

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RS004934 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386759165
LBN Legal business name Mount Laurel Supermarket Inc
DBA Doing business as Shoprite Pharmacy
Authorized official Figueroa Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Nov 20th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386759165 NPPES
New Jersey MEDICAID 6241107
New Jersey Other 3135565

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