Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY #654
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
485 BROAD ST, MERIDEN, CT 06450-5801
(203) 238-1261
(203) 238-1318
Mailing address
485 BROAD ST, MERIDEN, CT 06450-5801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1729
CT
333600000X
Pharmacy
1729
CT
3336C0003X
Community/Retail Pharmacy
Primary
1729
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0718328
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004197803
—
CT
Enumeration date
07/07/2006
Last updated
10/20/2011
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