Organization
CENTER SQUARE PLAZA SUPERMARKET, LLC
Active
Other names
ShopRite Pharmacy Dept. #591
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
65 CENTER SQUARE ROAD, WOOLWICH TOWNSHIP, NJ 08085
(856) 627-6501
Mailing address
1230 BLACKWOOD CLEMENTON RD, CLEMENTON, NJ 08021-5632
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/24/2022
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