Organization
VILLAGE SUPERMARKET OF MARYLAND, LLC
Active
Other names
Shoprite Pharmacy of Timonium
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
37 W AYLESBURY RD, LUTHERVILLE TIMONIUM, MD 21093-4102
(973) 467-2200
Mailing address
733 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3223
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
08/10/2012
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