Organization
VILLAGE SUPER MARKET OF NJ LP
Active
Other names
ShopRite Pharmacy of Washington
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
2 CLUB HOUSE DR, WASHINGTON, NJ 07882-2209
(908) 835-0781
(908) 835-0942
Mailing address
733 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3223
(908) 835-0781
(908) 835-0942
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RS003824
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3128154
NCPDP
NJ
05
—
4374908
—
NJ
Enumeration date
02/15/2007
Last updated
05/24/2025
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