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Organization

STOP AND SHOP SUPERMARKET CO LLC

Active
Other names
STOP AND SHOP PHARMACY #721
Organization subpart
No

Provider details

NPI number
Authorized official
BOB STONE (DIR 3RD PARTY MANAGED CARE)
(781) 380-5609
Entity
Organization

Contact information

Practice address
595 SMITHFIELD RD, N SMITHFIELD, RI 02896-7226
(401) 765-6722
(401) 769-2884
Mailing address
595 SMITHFIELD RD, N SMITHFIELD, RI 02896-7226

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
L117
RI
333600000X
Pharmacy
L117
RI
3336C0003X
Community/Retail Pharmacy
Primary
L117
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4104648
OTHER ID NUMBER-COMMERCIAL NUMBER
05
9010258
RI
Enumeration date
07/07/2006
Last updated
02/27/2008
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