Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY
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
100 MAIN STREET-NORTH, SOUTHBURY, CT 06488
(203) 262-4559
(203) 262-4561
Mailing address
100 MAIN STREET-NORTH, SOUTHBURY, CT 06488
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2018
CT
333600000X
Pharmacy
2018
CT
3336C0003X
Community/Retail Pharmacy
Primary
2018
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004252954
—
CT
01
—
0720361
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
10/31/2024
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