Organization
VILLAGE SUPER MARKET OF NJ, L.P.
Active
Other names
Shoprite Pharmacy of Greater Morristown
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
178 E HANOVER AVE, CEDAR KNOLLS, NJ 07927
(973) 539-3907
(973) 538-3919
Mailing address
733 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3223
(973) 539-3907
(973) 538-3919
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
RS003355
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3124928
NCPDP
NJ
05
—
4344901
—
NJ
Enumeration date
02/07/2007
Last updated
12/06/2013
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