Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY #659
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
72 NEWTOWN RD, DANBURY, CT 06810-6254
(203) 798-0735
(203) 792-0707
Mailing address
72 NEWTOWN RD, DANBURY, CT 06810-6254
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1249
CT
333600000X
Pharmacy
1249
CT
3336C0003X
Community/Retail Pharmacy
Primary
1249
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0712009
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004061586
—
CT
Enumeration date
07/07/2006
Last updated
10/24/2011
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