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Contact Information

STOP AND SHOP SUPERMARKET CO LLC
1278 ROUTE 22
PHILLIPSBURG, NJ08865
 Phone: 908-859-8331
 Fax: 908-859-8354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for STOP AND SHOP SUPERMARKET CO LLC

NPI # 1588696439
LBN Legal business name STOP AND SHOP SUPERMARKET CO LLC
Authorized official BOB STONE - (DIR 3RD PARTY MANAGED CARE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2006
Last updated 07/09/2009 - About 17 years ago
Identifiers
NJ License # 5944
NJ Medicaid 8473200
Other 3142902 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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