Shoprite Pharmacy Of Delran

LBN: Eickhoff Supermarkets, Inc.
Shoprite Pharmacy Of Delran is an health care organization with primary practice located at 1310 Fairview Blvd , Delran NJ 08075-1446. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Eickhoff Supermarkets, Inc. can be contacted via phone (856) 824-1102, or through Figueroa Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
1310 Fairview Blvd Delran NJ 08075-1446
Fax: (856) 824-1108
Website:
Authorized official contact:
Name: Figueroa Rivera, Melissa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RS006318 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1518072396
LBN Legal business name Eickhoff Supermarkets, Inc.
DBA Doing business as Shoprite Pharmacy Of Delran
Authorized official Figueroa Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 30th, 2011 - about 15 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 1518072396 NPPES
Other 3145732 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 21920 OTHER ID NUMBER-COMMERCIAL NUMBER

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