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Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY 809
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
940 EASTON AVE, SOMERSET, NJ 08873-1745
(732) 828-0369
(732) 828-0397
Mailing address
940 EASTON AVE, SOMERSET, NJ 08873-1745
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RS00653900
NJ
333600000X
Pharmacy
RS00653900
NJ
3336C0003X
Community/Retail Pharmacy
Primary
RS00653900
NJ
Other
Enumeration date
07/07/2006
Last updated
09/23/2011
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