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Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY #547
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON REID (PRESIDENT)
(301) 341-3906
Entity
Organization
Contact information
Practice address
2450 JERUSALEM AVE, NORTH BELLMORE, NY 11710-1827
(516) 826-0057
(516) 826-8037
Mailing address
2450 JERUSALEM AVE, NORTH BELLMORE, NY 11710-1827
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
21878
NY
333600000X
Pharmacy
21878
NY
3336C0003X
Community/Retail Pharmacy
Primary
21878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165786
—
NY
01
—
3321306
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
10/28/2024
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