Organization
UNION MILL SUPEMARKET LLC
Active
Other names
Shoprite Pharmacy Dept #525
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
892 UNION MILL RD, MOUNT LAUREL, NJ 08054-9561
(856) 365-0341
(856) 225-0348
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
(856) 365-0342
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00673700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056166
PK
—
Enumeration date
07/23/2007
Last updated
09/19/2025
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