Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BOB STONE (DIR 3RD PARTY MANAGED CARE)
(617) 770-6257
Entity
Organization
Contact information
Practice address
1160 KINGS HIGHWAY CUTOFF, FAIRFIELD, CT 06824-5271
(203) 254-8538
(203) 254-8698
Mailing address
1160 KINGS HIGHWAY CUTOFF, FAIRFIELD, CT 06824-5271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
01651
CT
333600000X
Pharmacy
01651
CT
3336C0003X
Community/Retail Pharmacy
Primary
01651
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0717403
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004180725
—
CT
Enumeration date
07/07/2006
Last updated
10/31/2024
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