# STOP AND SHOP SUPERMARKET CO LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AHOLDUSA
- **Other names:** STOP & SHOP PHARMACY 2818
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932570363
- **Legal business name:** AHOLDUSA
- **Authorized official:** RAYMOND MCCALL RPH (SVP HEALTH & HOUSEHOLD)
- **Authorized official phone:** (717) 960-5666

## Contact information

- **Practice address:** 25 KINNELON RD, KINNELON, NJ 07405-2337
- **Practice address phone:** (973) 838-6699
- **Practice address fax:** (973) 838-1236
- **Mailing address:** 1149 HARRISBURG PIKE, ATTN: THIRD PARTY COORDINATOR, CARLISLE, PA 17013-1607
- **Mailing address phone:** (717) 960-8553
- **Mailing address fax:** (717) 960-1389

## Taxonomy

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

## Other

- **Enumeration date:** 10/12/2015
- **Last updated:** 04/06/2016
