Organization
WEST HAVEN MARKETS INC
Active
Other names
ShopRite Pharmacy of West Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1131 CAMPBELL AVE, WEST HAVEN, CT 06516
(203) 907-0036
Mailing address
PO BOX 15169, NEWARK, NJ 07192
(203) 907-0036
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY0002230
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133668
PK
—
Enumeration date
01/27/2012
Last updated
11/09/2015
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