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Organization

STRATFORD MARKETS LLC

Active
Other names
Shoprite Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization

Contact information

Practice address
250 BARNUM AVENUE CUTOFF, STRATFORD, CT 06614-5152
(203) 386-0550
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
PCY0002183
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008025595
CT
01
0722149
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
08/19/2010
Last updated
02/10/2015
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