Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY 782
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
1282 SPRINGFIELD ST, FEEDING HILLS, MA 01030-2119
(413) 789-2226
(413) 786-2422
Mailing address
1282 SPRINGFIELD ST, FEEDING HILLS, MA 01030-2119
(413) 789-2226
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2299
MA
3336C0003X
Community/Retail Pharmacy
Primary
2299
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404624
—
MA
01
—
2233435
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/10/2006
Last updated
10/24/2011
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