Stop And Shop Supermarket Co Llc, NPI 1508898479
Community/Retail Pharmacy in New Haven, CT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1508898479
NPI Entity Type Organization
Provider Name Stop And Shop Supermarket Co Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 112 Amity Rd, New Haven, CT, US
Provider Mailing Address 112 Amity Rd, New Haven, CT, US, 065151405
Is Sole Proprietor? No
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Organization Official

Official Name Brad Dayton
Official Position DIRECTOR
Phone 617-770-8782

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 1470
License State CT
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

STOP AND SHOP PHARMACY #648
Doing Business As

Business Address

Stop And Shop Supermarket Co Llc
112 Amity Rd

New Haven, CT, US

Phone: 203-389-8863
Fax: 203-387-2232

Mailing Address

Stop And Shop Supermarket Co Llc
112 Amity Rd
New Haven, CT, US
ZIP 065151405

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

1470 CT No

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

1470 CT No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
004125721 CT MEDICAID 05
0714712 OTHER ID NUMBER-COMMERCIAL NUMBER 01

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