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Organization
GLASS GARDENS INC.
Active
Organization
GLASS GARDENS INC.
Active
Other names
SHOPRITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEORA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
224 E RTE 4, PARAMUS, NJ 07652-5119
(201) 291-4190
(201) 291-4192
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00566800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054047
PK
—
05
—
7835108
—
NJ
Enumeration date
08/20/2006
Last updated
09/27/2016
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