Organization · NPI-2

Buonadonna Shoprite LLC

Pharmacy, Community/Retail Pharmacy · Bay Shore, NY

NPI number1871608653
StatusActive
Last updated in NPPESOct 5, 2012

Details

NPI
1871608653
Entity type
Organization (NPI-2)
Legal business name
Buonadonna Shoprite LLC
Organization subpart
No
Enumeration date
Aug 20, 2006
Last updated
Oct 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy026563NYYes
333600000X Pharmacy––

Other names

  • Shoprite Of Bayshore (Doing Business As)

Practice location

1905 Sunrise Hwy
Bay Shore, NY 11706-6017

Phone 631-666-9377 · Fax 631-666-9330

Mailing address

Po Box 15169
Newark, NJ 07192-5169

Authorized official

Melissa Figueroa Rivera
Third Party Administrator
7325218439

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