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Organization
SHOP RITE OF BELLEVILLE LLC
Active
Organization
SHOP RITE OF BELLEVILLE LLC
Active
Other names
Belleville Shoprite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
726 WASHINGTON AVE, BELLEVILLE, NJ 07109-2871
(973) 450-0466
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00729400
NJ
Other
Enumeration date
07/19/2013
Last updated
01/06/2014
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