# DELSEA DRIVE SUPERMARKET, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHOPRITE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487769261
- **Authorized official:** MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (732) 521-8439

## Contact information

- **Practice address:** 1255 W LANDIS AVE, VINELAND, NJ 08360-3423
- **Practice address phone:** (856) 794-2989
- **Practice address fax:** (856) 794-1910
- **Mailing address:** 1255 W LANDIS AVE, VINELAND, NJ 08360-3423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | RS005755 | NJ | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 06/21/2013