Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BOB STONE (DIR 3RD PARTY MANAGED CARE)
(781) 380-5609
Entity
Organization
Contact information
Practice address
RT 35S AND TWIN BROOK AVE, MIDDLETOWN, NJ 07748
(732) 957-9355
(732) 957-9192
Mailing address
RT 35S AND TWIN BROOK AVE, MIDDLETOWN, NJ 07748
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
6042
NJ
333600000X
Pharmacy
6042
NJ
3336C0003X
Community/Retail Pharmacy
Primary
6042
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3143409
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8713502
—
NJ
Enumeration date
07/19/2006
Last updated
02/25/2008
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