<Unavail>
LBN: Delsea Drive Supermarket, Llc
<Unavail> is an health care organization with primary practice located at 1255 W Landis Ave , Vineland NJ 08360-3423. 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.
Delsea Drive Supermarket, Llc can be contacted via phone (856) 794-2989, or through Figueroa Rivera, Melissa via phone (732) 521-8439.
Contact Information
Primary practice address
1255 W Landis Ave
Vineland NJ 08360-3423
Phone: (856) 794-2989
Fax: (856) 794-1910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | RS005755 | New Jersey |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1487769261 |
|---|---|
| LBN Legal business name | Delsea Drive Supermarket, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Figueroa Rivera, Melissa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jun 21st, 2013 - about 13 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 | 1487769261 | NPPES |
| Other | 3131947 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 8082707 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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