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Contact Information

VILLAGE SUPER MARKET OF NJ LP
80 S. WHITE HORSE PIKE SUITE C4
HAMMONTON, NJ08037
 Phone: 609-567-4275
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VILLAGE SUPER MARKET OF NJ LP

NPI Number 1891800678
LBN Legal business name VILLAGE SUPER MARKET OF NJ LP
Authorized official MELISSA FIGUEROA RIVERA - (THIRD PARTY ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 10/14/2011 - About 15 years ago
Identifiers
NJ License # RS006104
NJ Medicaid 8767106
Other 3144223 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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