Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
Stop & Shop Pharmacy #850
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
800F DENOW RD, PENNINGTON, NJ 08534
(609) 737-9185
(609) 737-9563
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
6610
NJ
3336C0003X
Community/Retail Pharmacy
Primary
RS00 6610 00
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104892
—
NJ
01
—
3193555
NCPDP
NJ
Enumeration date
05/18/2006
Last updated
02/25/2015
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