Organization
GRADE A MARKET INC
Active
Other names
Grade A Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEORA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
200 SHIPPAN AVE, STAMFORD, CT 06902-6013
(203) 323-3491
(203) 316-8553
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
(203) 323-3491
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY0000033
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004049623
—
CT
01
—
1999141
PK
—
Enumeration date
02/08/2007
Last updated
09/19/2025
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