# STOP AND SHOP SUPERMARKET CO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STOP AND SHOP PHARMACY \#721
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649202508
- **Authorized official:** BOB STONE (DIR 3RD PARTY MANAGED CARE)
- **Authorized official phone:** (781) 380-5609

## Contact information

- **Practice address:** 595 SMITHFIELD RD, N SMITHFIELD, RI 02896-7226
- **Practice address phone:** (401) 765-6722
- **Practice address fax:** (401) 769-2884
- **Mailing address:** 595 SMITHFIELD RD, N SMITHFIELD, RI 02896-7226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | L117 | RI | — |
| 333600000X | Pharmacy | L117 | RI | — |
| 3336C0003X | Community/Retail Pharmacy | L117 | RI | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 02/27/2008