Provider Demographics
NPI:1548950892
Name:RONETCO SUPERMARKETS, INC
Entity type:Organization
Organization Name:RONETCO SUPERMARKETS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER GENERAL ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:LASALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-927-8300
Mailing Address - Street 1:1070 US HIGHWAY 46 STE 17
Mailing Address - Street 2:
Mailing Address - City:LEDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07852-9701
Mailing Address - Country:US
Mailing Address - Phone:973-927-3000
Mailing Address - Fax:973-927-4953
Practice Address - Street 1:1 WIEBEL PLZ
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-2222
Practice Address - Country:US
Practice Address - Phone:973-927-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy