Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY #707
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
200 ATWOOD AVE, CRANSTON, RI 02920-4053
(401) 944-2669
(401) 944-8506
Mailing address
200 ATWOOD AVE, CRANSTON, RI 02920-4053
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
L182
RI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4105323
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
SS12295
—
RI
Enumeration date
07/07/2006
Last updated
10/24/2011
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