# GLASS GARDENS INC

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

## Provider details

- **NPI number:** 1942315726
- **Authorized official:** MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
- **Authorized official phone:** (732) 521-8439

## Contact information

- **Practice address:** 220 W PASSAIC ST, ROCHELLE PARK, NJ 07662-3118
- **Practice address phone:** (201) 843-5572
- **Practice address fax:** (201) 843-2145
- **Mailing address:** 220 W PASSAIC ST, ROCHELLE PARK, NJ 07662-3118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00437600 | NJ | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 10/20/2014