Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY #604
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON REID (PRESIDENT)
(301) 341-3906
Entity
Organization
Contact information
Practice address
727 RUBBER AV MT VIEW PLAZA, NAUGATUCK, CT 06770
(203) 723-6939
(203) 729-3898
Mailing address
727 RUBBER AV MT VIEW PLAZA, NAUGATUCK, CT 06770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1348
CT
333600000X
Pharmacy
1348
CT
3336C0003X
Community/Retail Pharmacy
Primary
1348
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0712958
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004087070
—
CT
Enumeration date
07/07/2006
Last updated
09/23/2024
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