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Organization

WAVERLY MARKETS OF EAST HARTFORD 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
31 MAIN ST, EAST HARTFORD, CT 06118-3209
(860) 895-8106
(860) 895-8931
Mailing address
PO BOX 15169, NEWARK, NJ 07192-5169
(860) 895-8106

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PCY0002170
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008017653
CT
01
2124366
PK
Enumeration date
03/04/2010
Last updated
09/19/2025
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