Delsea Drive Supermarket, LLC
Pharmacy, Community/Retail Pharmacy in Vineland, NJ. Organization (NPI-2).
NPI number1487769261
StatusActive
Last updated in NPPESJun 21, 2013
Details
- NPI
- 1487769261
- Entity type
- Organization (NPI-2)
- Legal business name
- Delsea Drive Supermarket, LLC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2006
- Last updated
- Jun 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | RS005755 | NJ |
Other names
- Shoprite Pharmacy (Doing Business As)
Practice location
1255 W Landis AveVineland, NJ 08360-3423
Phone 856-794-2989 · Fax 856-794-1910
Mailing address
1255 W Landis AveVineland, NJ 08360-3423
Authorized official
Melissa Figueroa Rivera
Third Party Administrator
7325218439
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