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Organization
NUTLEY PARK SHOP RITE INC
Active
Organization
NUTLEY PARK SHOP RITE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEORA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
437 FRANKLIN AVE, NUTLEY, NJ 07110-2309
(973) 235-0821
(973) 667-5835
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00286400
NJ
Other
Enumeration date
08/20/2006
Last updated
11/14/2017
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