Harbison Supermarkets LLC
Pharmacy, Community/Retail Pharmacy in Philadelphia, PA. Organization (NPI-2).
NPI number1669985404
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1669985404
- Entity type
- Organization (NPI-2)
- Legal business name
- Harbison Supermarkets LLC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2017
- Certification date
- Aug 13, 2025
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PP482771 | PA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Shoprite Pharmacy Dept #495 (Doing Business As)
Practice location
5597 Tulip St Bldg APhiladelphia, PA 19124-1562
Phone 215-288-1947 · Fax 856-357-9304
Mailing address
Po Box 15169Newark, NJ 07192-5169
Phone 856-357-9302
Authorized official
Melissa Figueroa-Rivera
Third Party Administrator
7325218439
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