Inserra Supermarket INC
NPI #1629386123 in Stony Point, New York
Provider Information
- NPI Number
- 1629386123
- Entity Type
- Organization
- Organization Name
- Inserra Supermarket INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 17, 2010
- Last Updated
- May 11, 2017
Practice Location
- Address
- 22 HOLT DR
- City
- Stony Point
- State
- New York
- ZIP Code
- 10980
- Phone
- (732) 521-8439
Authorized Official
- Name
- MELISSA FIGUEROA RIVERA
- Title
- THIRD PARTY ADMINISTRATOR
- Phone
- (732) 521-8439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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