Organization
VILLAGE SUPER MARKET OF NJ LP
Active
Other names
Shoprite Pharmacy of Galloway
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
401 SOUTH PITNEY ROAD, GALLOWAY, NJ 08205-9780
(609) 404-4160
Mailing address
700 MOUNTAIN AVE, SPRINGFIELD, NJ 07081
(609) 404-4160
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
10/14/2011
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