Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY #704
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON REID (PHARMACY PRESIDENT)
(301) 341-3906
Entity
Organization
Contact information
Practice address
70 MENDON RD, CUMBERLAND, RI 02864-5327
(401) 722-3401
(401) 722-4168
Mailing address
70 MENDON RD, CUMBERLAND, RI 02864-5327
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
L241
RI
333600000X
Pharmacy
L241
RI
3336C0003X
Community/Retail Pharmacy
Primary
L241
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4105296
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
SS11896
—
RI
Enumeration date
07/07/2006
Last updated
09/19/2024
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