Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY #529
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
2425 PALMER AVE, NEW ROCHELLE, NY 10801-4400
(914) 632-7148
(914) 632-7481
Mailing address
2425 PALMER AVE, NEW ROCHELLE, NY 10801-4400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
24359
NY
333600000X
Pharmacy
24359
NY
3336C0003X
Community/Retail Pharmacy
Primary
24359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01985299
—
NY
05
—
01985419
—
NY
01
—
3305744
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
10/19/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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