Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
Stop & Shop Pharmacy #2612
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR)
(717) 240-1526
Entity
Organization
Contact information
Practice address
25 RTE 39, NEW FAIRFIELD, CT 06812
(203) 312-9818
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
1860
CT
3336C0003X
Community/Retail Pharmacy
Primary
PCY 0001860
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008014128
—
CT
Enumeration date
03/08/2010
Last updated
01/08/2013
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