Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
Stop & Shop Pharmacy #696
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
460 ELM ST, WEST HAVEN, CT 06516-4233
(203) 931-9478
(203) 937-0855
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
2048
CT
3336C0003X
Community/Retail Pharmacy
Primary
2048
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004260840
—
CT
01
—
0720501
NCPDP
CT
Enumeration date
05/11/2006
Last updated
01/08/2014
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