Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON REID (PRESIDENT)
(301) 341-3906
Entity
Organization
Contact information
Practice address
50 WINDSORVILLE RD, VERNON ROCKVILLE, CT 06066-2385
(860) 870-6255
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PCY0001551
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008014125
—
CT
Enumeration date
03/05/2010
Last updated
09/23/2024
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