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Organization

STOP & SHOP SUPERMARKET COMPANY, LLC

Active
Other names
STOP AND SHOP PHARMACY #556
Organization subpart
No

Provider details

NPI number
Authorized official
GORDON REID (DIRECTOR)
(301) 341-3906
Entity
Organization

Contact information

Practice address
150 FULTON AVE, HEMPSTEAD, NY 11550-3719
(516) 539-2031
(516) 539-2404
Mailing address
150 FULTON AVE, HEMPSTEAD, NY 11550-3719

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
025128
NY
333600000X
Pharmacy
025128
NY
3336C0003X
Community/Retail Pharmacy
Primary
025128
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02184623
NY
01
3322396
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/07/2006
Last updated
05/20/2024
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