Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY 726
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
2470 WARWICK AVE, WARWICK, RI 02889-4263
(401) 732-4060
(401) 732-5376
Mailing address
2470 WARWICK AVE, WARWICK, RI 02889-4263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
00343
RI
333600000X
Pharmacy
00343
RI
3336C0003X
Community/Retail Pharmacy
Primary
00343
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4104066
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
9010110
—
RI
Enumeration date
07/07/2006
Last updated
10/24/2011
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