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Organization

GLASS GARDENS INC.

Active
Other names
SHOPRITE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA FIGUEORA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization

Contact information

Practice address
224 E RTE 4, PARAMUS, NJ 07652-5119
(201) 291-4190
(201) 291-4192
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
28RS00566800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2054047
PK
05
7835108
NJ
Enumeration date
08/20/2006
Last updated
09/27/2016
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