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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 807
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
1129 STATE ROUTE 34, MATAWAN, NJ 07747-2166
(732) 583-9500
(732) 290-1365
Mailing address
1129 STATE ROUTE 34, MATAWAN, NJ 07747-2166
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
6043
NJ
333600000X
Pharmacy
6043
NJ
3336C0003X
Community/Retail Pharmacy
Primary
6043
NJ
Other
Enumeration date
07/07/2006
Last updated
09/23/2011
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