NPI 1760945125
Waverly Markets of Vernon LLC
Practice location
- Address
- 35 Talcottville Rd, Vernon, CT 06066-5261
- Phone
- (860) 872-8961
- 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
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1760945125
- Entity type
- Organization
- NPI issued
- 11 Apr 2019
- Record last updated
- 11 Apr 2019
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.