NPI 1083754980

Waverly Markets, LLC

Organisation Community/Retail Pharmacy Manchester, CT

Practice location

Address: 214 Spencer St, Manchester, CT 06040-4618
Phone: (860) 645-3244
Fax: (860) 643-9283
Mailing address: PO Box 15169, Newark, NJ 07192-5169

Authorised official

Name: Melissa Figueroa Rivera
Title: Third Party Administrator
Phone: (732) 521-8439

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PCY1083 (CT)

Other Pharmacy providers in Connecticut →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1083754980
Entity type: Organization
NPI issued: 8 Feb 2007
Record last updated: 3 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.