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Contact Information

STOP & SHOP SUPERMARKET COMPANY, LLC
539571 BOSTON TURNPIKE
SHREWSBURY, MA01545
 Phone: 508-842-2771
 Fax: 508-842-1517
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for STOP & SHOP SUPERMARKET COMPANY, LLC

NPI Number 1386676260
LBN Legal business name STOP & SHOP SUPERMARKET COMPANY, LLC
Authorized official BRAD DAYTON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 05/16/2024 - About 2 years ago
Identifiers
MA License # 2660
MA Medicaid 0445452
Other 2236289 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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