# NUTLEY PARK SHOP RITE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942315718
- **Authorized official:** MELISSA FIGUEORA RIVERA (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (732) 521-8448

## Contact information

- **Practice address:** 437 FRANKLIN AVE, NUTLEY, NJ 07110-2309
- **Practice address phone:** (973) 235-0821
- **Practice address fax:** (973) 667-5835
- **Mailing address:** PO BOX 15169, NEWARK, NJ 07192-5169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00286400 | NJ | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 11/14/2017