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Organization

STOP AND SHOP SUPERMARKET CO LLC

Active
Other names
STOP AND SHOP PHARMACY 897
Organization subpart
No

Provider details

NPI number
Authorized official
ALISON FARRELL (DIRECTOR THIRD PARTY)
(717) 240-1526
Entity
Organization

Contact information

Practice address
581 STELTON ROAD, PISCATAWAY, NJ 08854
(732) 968-4610
(732) 968-4692
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
5939
NJ
333600000X
Pharmacy
5939
NJ
3336C0003X
Community/Retail Pharmacy
Primary
5939
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3142887
OTHER ID NUMBER-COMMERCIAL NUMBER
05
8455007
NJ
Enumeration date
07/07/2006
Last updated
05/15/2013
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