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Organization
GLB SHOP ASSOCIATES LLC
Active
Organization
GLB SHOP ASSOCIATES LLC
Active
Other names
Shoprite Pharmacy Dept 176
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1409 BROAD ST, BLOOMFIELD, NJ 07003-3001
(973) 338-4143
(973) 893-1623
Mailing address
1409 BROAD ST, BLOOMFIELD, NJ 07003-3001
(973) 338-4143
(973) 893-1623
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00571800
NJ
Other
Enumeration date
08/20/2006
Last updated
04/11/2025
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