Organization
VILLAGE SUPER MARKET OF NJ LP
Active
Other names
Shoprite Pharmacy of Somerset
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
435 ELIZABETH AVE, SOMERSET, NJ 08873
(732) 805-4826
Mailing address
733 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3223
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3194711
OTHER ID NUMBER
—
Enumeration date
10/04/2007
Last updated
11/09/2016
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