Organization
CLINTON MARKETS LLC
Active
Other names
Shoprite Pharmacy of Clinton
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
266 E MAIN ST, CLINTON, CT 06413-2254
(860) 669-6619
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
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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