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Organization
THE STOP AND SHOP SUPERMARKET CO LLC
Active
Organization
THE STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY 801
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
100 US ROUTE 36, KEYPORT, NJ 07735-1420
(732) 335-4281
(732) 335-4292
Mailing address
100 US ROUTE 36, KEYPORT, NJ 07735-1420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RS05647
NJ
333600000X
Pharmacy
RS05647
NJ
3336C0003X
Community/Retail Pharmacy
Primary
RS05647
NJ
Other
Enumeration date
07/07/2006
Last updated
09/23/2011
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