# VILLAGE SUPER MARKET OF NJ LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shoprite Pharmacy of Chatham
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821138025
- **Authorized official:** MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (732) 521-8448

## Contact information

- **Practice address:** 641 SHUNPIKE RD/SOUTHERN BLVD, SOUTHERN BLVD, CHATHAM, NJ 07928-1567
- **Practice address phone:** (973) 377-5770
- **Practice address fax:** (973) 377-0676
- **Mailing address:** 641 SHUNPIKE RD, SOUTHERN BLVD, CHATHAM, NJ 07920
- **Mailing address phone:** (973) 377-5770
- **Mailing address fax:** (973) 377-0676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RS004005 | NJ | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 10/13/2011
