Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY #2805
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR, THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
133 MAIN ST, MADISON, NJ 07940-2154
(973) 593-0539
(973) 377-3253
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5928
NJ
333600000X
Pharmacy
5928
NJ
3336C0003X
Community/Retail Pharmacy
Primary
5928
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3142863
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8450706
—
NJ
Enumeration date
07/07/2006
Last updated
05/15/2013
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