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Organization
STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Organization
STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY #91
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
539571 BOSTON TURNPIKE, SHREWSBURY, MA 01545
(508) 842-2771
(508) 842-1517
Mailing address
539571 BOSTON TURNPIKE, SHREWSBURY, MA 01545
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2660
MA
333600000X
Pharmacy
2660
MA
3336C0003X
Community/Retail Pharmacy
Primary
2660
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445452
—
MA
01
—
2236289
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
05/16/2024
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