Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BOB STONE (DIR 3RD PARTY MANAGED CARE)
(617) 770-8732
Entity
Organization
Contact information
Practice address
215 GLASTONBURY BLVD, GLASTONBURY, CT 06033-4408
(860) 659-5844
(860) 657-9710
Mailing address
215 GLASTONBURY BLVD, GLASTONBURY, CT 06033-4408
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1596
CT
333600000X
Pharmacy
1596
CT
3336C0003X
Community/Retail Pharmacy
Primary
1596
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0716855
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004163060
—
CT
Enumeration date
07/07/2006
Last updated
06/25/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us