Five Star Supermarkets of Norwich INC

NPI #1407196066 in Norwich, Connecticut

Provider Information

NPI Number
1407196066
Entity Type
Organization
Organization Name
Five Star Supermarkets of Norwich INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 19, 2013
Last Updated
Feb 12, 2014

Practice Location

Address
634 W MAIN ST
ZIP Code
06360-6007
Phone
(860) 859-9758

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 PharmacyCommunity/Retail Pharmacy

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