Five Star Supermarkets of New London INC

NPI #1639268097 in New London, Connecticut

Provider Information

NPI Number
1639268097
Entity Type
Organization
Organization Name
Five Star Supermarkets of New London INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 12, 2006
Last Updated
Jan 8, 2015

Practice Location

Address
351 N FRONTAGE RD
ZIP Code
06320-2628
Phone
(860) 447-1194

Authorized Official

Name
MELISSA FIGUEORA 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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