Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY #600
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
2335 DIXWELL AVE, HAMDEN, CT 06514-2100
(203) 248-9631
(203) 407-8406
Mailing address
2335 DIXWELL AVE, HAMDEN, CT 06514-2100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1565
CT
333600000X
Pharmacy
1565
CT
3336C0003X
Community/Retail Pharmacy
Primary
1565
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0716538
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004144599
—
CT
Enumeration date
07/11/2006
Last updated
10/20/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us