Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY #553
Organization subpart
No
Provider details
NPI number
Authorized official
BOB STONE (DIR 3RD PARTY MANAGED CARE)
(781) 380-5609
Entity
Organization
Contact information
Practice address
250 POND PATH, SOUTH SETAUKET, NY 11720-2006
(631) 585-4469
(631) 585-4331
Mailing address
250 POND PATH, SOUTH SETAUKET, NY 11720-2006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
025642
NY
333600000X
Pharmacy
025642
NY
3336C0003X
Community/Retail Pharmacy
Primary
025642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02325395
—
NY
01
—
3324718
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
06/23/2009
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