# STOP AND SHOP SUPERMARKET CO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STOP AND SHOP PHARMACY \#82
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245262138
- **Authorized official:** BRAD DAYTON (DIRECTOR)
- **Authorized official phone:** (671) 770-8782

## Contact information

- **Practice address:** 341 PLYMOUTH ST, HALIFAX, MA 02338-1340
- **Practice address phone:** (781) 293-5786
- **Practice address fax:** (781) 294-1681
- **Mailing address:** 341 PLYMOUTH ST, HALIFAX, MA 02338-1340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 3359 | MA | — |
| 333600000X | Pharmacy | 3359 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 3359 | MA | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 10/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0406708 | — | MA |
| 01 | — | 2239538 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |