Organization
VILLAGE SUPER MARKET OF NJ LP
Active
Other names
ShopRite Pharmacy of Somers Point
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
23 BETHEL RD, SOMERS POINT, NJ 08244-1601
(609) 927-0760
(609) 926-2226
Mailing address
23 BETHEL RD, SOMERS POINT, NJ 08244-1601
(609) 927-0760
(609) 926-2226
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RS003839
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3122140
NCPDP
NJ
05
—
4376501
—
NJ
Enumeration date
02/20/2007
Last updated
10/14/2011
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