Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY 816
Organization subpart
No
Provider details
NPI number
Authorized official
BOB STONE (DIR 3RD PARTY MANAGED CARE)
(617) 770-6257
Entity
Organization
Contact information
Practice address
1278 ROUTE 22, PHILLIPSBURG, NJ 08865
(908) 859-8331
(908) 859-8354
Mailing address
1278 ROUTE 22, PHILLIPSBURG, NJ 08865
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5944
NJ
3336C0003X
Community/Retail Pharmacy
Primary
5944
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3142902
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8473200
—
NJ
Enumeration date
07/07/2006
Last updated
07/09/2009
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