Organization
VILLAGE SUPER MARKET OF NJ LP
Active
Other names
ShopRite Pharmacy of Absecon
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8448
Entity
Organization
Contact information
Practice address
616 WHITE HORSE PIKE, ABSECON, NJ 08201-2302
(609) 646-0444
(609) 383-3578
Mailing address
616 WHITE HORSE PIKE, ABSECON, NJ 08201-2302
(609) 646-0444
(609) 383-3578
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RS003831
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3124663
NCPDP
NJ
05
—
4375009
—
NJ
Enumeration date
02/21/2007
Last updated
10/14/2011
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