Organization
CROMWELL MARKETS LLC
Active
Other names
Shoprite of Cromwell
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
45 SHUNPIKE RD, CROMWELL, CT 06416-2447
(860) 613-0741
(860) 613-9912
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
02/05/2019
Last updated
05/01/2019
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