Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY 787
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
228 KING ST, NORTHAMPTON, MA 01060-2332
(413) 584-9700
(413) 584-6627
Mailing address
228 KING ST, NORTHAMPTON, MA 01060-2332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2308
MA
333600000X
Pharmacy
2308
MA
3336C0003X
Community/Retail Pharmacy
Primary
2308
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441694
—
MA
01
—
2233524
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
10/24/2011
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