Organization
STOP AND SHOP SUPERMARKET CO LLC
Active
Other names
STOP AND SHOP PHARMACY #784
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD DAYTON (DIRECTOR)
(617) 770-8782
Entity
Organization
Contact information
Practice address
876 STATE RD, NORTH ADAMS, MA 01247-3027
(413) 664-8550
(413) 664-2033
Mailing address
876 STATE RD, NORTH ADAMS, MA 01247-3027
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2132
MA
333600000X
Pharmacy
2132
MA
3336C0003X
Community/Retail Pharmacy
Primary
2132
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439924
—
MA
01
—
2232091
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
11/27/2015
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