Grade a Shoprite of Southbury LLC
NPI #1588987515 in Southbury, Connecticut
Provider Information
- NPI Number
- 1588987515
- Entity Type
- Organization
- Organization Name
- Grade a Shoprite of Southbury LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 4, 2010
- Last Updated
- Sep 19, 2025
Practice Location
- Address
- 775 MAIN ST S
- City
- Southbury
- State
- Connecticut
- ZIP Code
- 06488-2271
- Phone
- (203) 267-7422
Authorized Official
- Name
- MELISSA FIGUEROA RIVERA
- Title
- THIRD PARTY ADMINISTRATOR
- Phone
- (732) 521-8439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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