Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY #622
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
211 HIGH ST, TORRINGTON, CT 06790-6301
(860) 489-2433
(860) 489-5946
Mailing address
211 HIGH ST, TORRINGTON, CT 06790-6301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1397
CT
333600000X
Pharmacy
1397
CT
3336C0003X
Community/Retail Pharmacy
Primary
1397
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0713746
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004101713
—
CT
Enumeration date
07/07/2006
Last updated
10/21/2011
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