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Organization
GLASS GARDENS INC
Active
Organization
GLASS GARDENS INC
Active
Other names
SHOPRITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
220 W PASSAIC ST, ROCHELLE PARK, NJ 07662-3118
(201) 843-5572
(201) 843-2145
Mailing address
220 W PASSAIC ST, ROCHELLE PARK, NJ 07662-3118
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00437600
NJ
Other
Enumeration date
08/20/2006
Last updated
10/20/2014
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