Waverly Markets, LLC
NPI #1083754980 in Manchester, Connecticut
Provider Information
- NPI Number
- 1083754980
- Entity Type
- Organization
- Organization Name
- Waverly Markets, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Oct 3, 2012
Practice Location
- Address
- 214 SPENCER ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-4618
- Phone
- (860) 645-3244
Authorized Official
- Name
- MELISSA FIGUEROA RIVERA
- Title
- THIRD PARTY ADMINISTRATOR
- Phone
- (732) 521-8439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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