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Grade A Market Derby Llc
Community/Retail Pharmacy in Derby, Connecticut
NPI 1548311848

Grade A Market Derby Llc is a Community/Retail Pharmacy based in Newark, CT and is specialized in Community/Retail Pharmacy. Grade A Market Derby Llc practices in Derby, CT. The NPI Number for Grade A Market Derby Llc is 1548311848 and holds a License No. (Connecticut).

The current practice location address for Grade A Market Derby Llc is 49 Pershing Dr, Derby, CT and can be reached out via phone at 203-736-1055 and via fax at 203-736-1007.

Location: 49 Pershing Dr, Derby, CT, 07192-5169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548311848
Provider Name
Grade A Market Derby Llc
Credential
Provider Entity Type
Organization
Address
49 Pershing Dr, Derby, CT, 07192-5169
Phone Number
203-736-1055
Fax Number
203-736-1007
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0719178 01 NCPDP PROVIDER IDENTIFICATION NUMBER
004222923 05 CT
institution
Provider Business Practice Location Address Details
Address
49 Pershing Dr
City
Derby
State
Connecticut
Zip
06418-1406
Phone Number
203-736-1055
Fax Number
203-736-1007
person
Provider Business Mailing Address Details
Address
49 Pershing Dr
City
Derby
State
Connecticut
Zip
06418-1406
Phone Number
203-736-1055
Fax Number
203-736-1007
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PCY0001803 (Connecticut)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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Community/Retail Pharmacy
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06418-1406
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