Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY #665
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
248 FLANDERS ROAD, EAST LYME, CT 06333
(860) 739-5957
(860) 739-9844
Mailing address
248 FLANDERS ROAD, EAST LYME, CT 06333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1829
CT
333600000X
Pharmacy
1829
CT
3336C0003X
Community/Retail Pharmacy
Primary
1829
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004226652
—
CT
01
—
0719457
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
10/31/2024
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