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Organization

STOP AND SHOP SUPERMARKET CO LLC

Active
Other names
STOP AND SHOP PHARMACY #683
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization

Contact information

Practice address
180 DANBURY RD, NEW MILFORD, CT 06776-4328
(860) 355-3763
(860) 354-1437
Mailing address
180 DANBURY RD, NEW MILFORD, CT 06776-4328

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1206
CT
333600000X
Pharmacy
1206
CT
3336C0003X
Community/Retail Pharmacy
Primary
1206
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0712061
OTHER ID NUMBER-COMMERCIAL NUMBER
05
940004052239
CT
Enumeration date
07/07/2006
Last updated
10/27/2011
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