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Organization

VILLAGE SUPER MARKET OF NJ LP

Active
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Organization

VILLAGE SUPER MARKET OF NJ LP

Active
Other names
ShopRite Pharmacy of Elizabeth
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization

Contact information

Practice address
865 W GRAND ST, ELIZABETH, NJ 07202-1001
(908) 558-0049
(908) 558-8991
Mailing address
733 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3223

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS004607
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL

Other

Enumeration date
08/20/2006
Last updated
06/25/2025
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