Organization
VILLAGE SUPER MARKET OF NJ LP
Active
Other names
Shoprite Pharmacy of Marmora
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA-RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
4 WEST ROOSEVELT AVE, MARMORA, NJ 08223
(609) 927-1070
Mailing address
733 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3223
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00692700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245607
—
NJ
01
—
3196018
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/28/2009
Last updated
06/25/2025
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