Organization
VILLAGE SUPERMARKET OF MARYLAND, LLC
Active
Other names
Shoprite Pharmacy of White Oak
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
12028 CHERRY HILL RD, SILVER SPRING, MD 20904-1985
(973) 467-2200
Mailing address
733 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-3223
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
08/10/2012
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