# VILLAGE SUPER MARKET OF NJ LP

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

## Provider details

- **NPI number:** 1891800678
- **Authorized official:** MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (732) 521-8448

## Contact information

- **Practice address:** 80 S. WHITE HORSE PIKE SUITE C4, HAMMONTON, NJ 08037
- **Practice address phone:** (609) 567-4275
- **Mailing address:** 80 S. WHITE HORSE PIKE SUITE C4, HAMMONTON, NJ 08037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336M0003X | Managed Care Organization Pharmacy | RS006104 | NJ | — |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 10/14/2011