Grade A Market Derby Llc in Derby - Pharmacy

Grade A Market Derby Llc - NPI 1548311848

Grade A Market Derby Llc is a Pharmacy in Derby, Connecticut. Grade A Market Derby Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Grade A Market Derby Llc is 1548311848. The last update date is 2017-11-17.

Grade A Market Derby Llc's current location address is 49 Pershing Dr, Derby, Connecticut. You can contact this provider via phone number 2037361055 and fax number 2037361007. The mailing address for Grade A Market Derby Llc is 49 Pershing Dr, Derby, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grade A Market Derby Llc
Address 49 Pershing Dr, Derby, Connecticut
Phone Number 2037361055
Fax Number 2037361007
Sole Proprietor --
Credentials --

Authorized Official

Title or Position THIRD PART
Authorized Official Name Figueroa Rivera Melissa
Telephone Number 7325218439

NPI Number Detail

NPI Number 1548311848
Provider Enumeration Date 2007-01-15
Last Updated Date 2017-11-17

Provider Mailing Address Detail

Address 49 Pershing Dr
City Derby
State Connecticut (CT)
Post Code 64181406
Phone Number 2037361055
Fax Number 2037361007

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
719178 NCPDP PROVIDER IDENTIFICATION
4222923 CT --

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FAQs about Grade A Market Derby Llc

What is the unique identifier code issued to Grade A Market Derby Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Grade A Market Derby Llc has been assigned the NPI (National Provider Identifier) 1548311848. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Grade A Market Derby Llc is located?

The Grade A Market Derby Llc is situated at the following address: 49 Pershing Dr, Derby, CT, 64181406.

What is Grade A Market Derby Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Grade A Market Derby Llc's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.

On what date did the Grade A Market Derby Llc receive the assignment of its 1548311848 from the Centers for Medicare & Medicaid Services?

The Grade A Market Derby Llc was issued its 1548311848 by the Centers for Medicare & Medicaid Services on 2007-01-15.

When was the information regarding Grade A Market Derby Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Grade A Market Derby Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-11-17.

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