<Unavail>
LBN: Marlton Supermarket Inc
<Unavail> is an health care organization with primary practice located at 307 W Route 70 , Marlton NJ 08053-1635. 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.
Marlton Supermarket Inc can be contacted via phone (856) 983-3665, or through Figueroa Rivera, Melissa via phone (732) 521-8439.
Contact Information
Primary practice address
307 W Route 70
Marlton NJ 08053-1635
Phone: (856) 983-3665
Fax: (856) 810-0573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28RS00475400 | New Jersey |
Profile Details
| NPI number | 1871636894 |
|---|---|
| LBN Legal business name | Marlton Supermarket Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Figueroa Rivera, Melissa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Sep 19th, 2025 - about last year |
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 | 1871636894 | NPPES |
| Other | 2052552 | PK | |
| MEDICAID | 5404002 | PK |
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