Whalio Doctors

NPI 1295840072

Village Super Market of Nj LP

Organisation Pharmacy Rio Grande, NJ

Practice location

Address
1700 Route 47 South, Rio Grande, NJ 08242-1326
Phone
(609) 886-0124
Fax
(609) 889-0219
Mailing address
733 Mountain Ave, Springfield, NJ 07081-3223

Authorised official

Name
Melissa Figueroa Rivera
Title
Third Party Administrator
Phone
(732) 521-8448

Registered specialties (2)

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence RS004543 (NJ)
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1295840072
Entity type
Organization
NPI issued
20 Aug 2006
Record last updated
24 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.