Five Star Supermarkets Of New London INC
Pharmacy, Community/Retail Pharmacy in New London, CT. Organization (NPI-2).
NPI number1639268097
StatusActive
Last updated in NPPESJan 8, 2015
Details
- NPI
- 1639268097
- Entity type
- Organization (NPI-2)
- Legal business name
- Five Star Supermarkets Of New London INC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Jan 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PCY0001743 | CT | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Shop Rite Pharmacy Of New London (Doing Business As)
Practice location
351 N Frontage RdNew London, CT 06320-2628
Phone 860-447-1194 · Fax 860-444-9474
Mailing address
Po Box 15169Newark, NJ 07192-5169
Authorized official
Melissa Figueora Rivera
Third Party Administrator
7325218439
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