Healthcare Provider Details

I. General information

NPI: 1508684929
Provider Name (Legal Business Name): CLUTCH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2024
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 WESTCOTT RD
DANIELSON CT
06239-2929
US

IV. Provider business mailing address

77 WESTCOTT RD
DANIELSON CT
06239-2929
US

V. Phone/Fax

Practice location:
  • Phone: 401-864-0460
  • Fax:
Mailing address:
  • Phone: 860-774-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: AMERA IQBAL
Title or Position: OWNER
Credential: PRESIDENT
Phone: 860-774-0050