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Contact Information

THE STOP & SHOP SUPERMARKET COMPANY, LLC
248 FLANDERS ROAD
EAST LYME, CT06333
 Phone: 860-739-5957
 Fax: 860-739-9844
 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 THE STOP & SHOP SUPERMARKET COMPANY, LLC

NPI Number 1467484337
LBN Legal business name THE STOP & SHOP SUPERMARKET COMPANY, LLC
Authorized official BRAD DAYTON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 10/31/2024 - More than a year ago
Identifiers
CT License # 1829
CT Medicaid 004226652
Other 0719457 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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