Organization
THE STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY 801
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
100 US ROUTE 36, KEYPORT, NJ 07735-1420
(732) 335-4281
(732) 335-4292
Mailing address
100 US ROUTE 36, KEYPORT, NJ 07735-1420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RS05647
NJ
333600000X
Pharmacy
RS05647
NJ
3336C0003X
Community/Retail Pharmacy
Primary
RS05647
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3142899
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8489408
—
NJ
Enumeration date
07/07/2006
Last updated
09/23/2011
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