# THE STOP & SHOP SUPERMARKET COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STOP AND SHOP PHARMACY \#704
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285666149
- **Authorized official:** GORDON REID (PHARMACY PRESIDENT)
- **Authorized official phone:** (301) 341-3906

## Contact information

- **Practice address:** 70 MENDON RD, CUMBERLAND, RI 02864-5327
- **Practice address phone:** (401) 722-3401
- **Practice address fax:** (401) 722-4168
- **Mailing address:** 70 MENDON RD, CUMBERLAND, RI 02864-5327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | L241 | RI | — |
| 333600000X | Pharmacy | L241 | RI | — |
| 3336C0003X | Community/Retail Pharmacy | L241 | RI | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 09/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4105296 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | SS11896 | — | RI |