Organization
VILLAGE SUPER MARKET OF NJ LP
Active
Other names
Shoprite Pharmacy of Hillsborough
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
601 RT 206, HILLSBOROUGH, NJ 08844-1521
(908) 359-7419
(908) 359-8671
Mailing address
733 MOUNTAIN AVENUE, SPRINGFIELD, NJ 07081
(908) 359-7419
(908) 359-8671
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RS003583
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3126643
NCPDP
NJ
05
—
4359305
—
NJ
Enumeration date
02/15/2007
Last updated
10/14/2011
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