Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
Stop & Shop Pharmacy #855
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR, THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
400 LACEY RD, WHITING, NJ 08759-1305
(732) 716-1787
(732) 350-7534
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RS00 6685 00
NJ
3336C0003X
Community/Retail Pharmacy
Primary
RS00 6658 00
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131571
—
NJ
01
—
3194230
NCPDP
NJ
Enumeration date
04/13/2007
Last updated
05/15/2013
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