# GLN SHOP ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shop Rite Pharmacy Dept 178
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437539103
- **Authorized official:** MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (732) 521-8439

## Contact information

- **Practice address:** 206 SPRINGFIELD AVE, NEWARK, NJ 07103-2916
- **Practice address phone:** (973) 877-3641
- **Mailing address:** PO BOX 15169, NEWARK, NJ 07192-5169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00743800 | NJ | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 04/11/2025