Stop And Shop Pharmacy # 11

LBN: Stop And Shop Supermarket Co Llc
Stop And Shop Pharmacy # 11 is an health care organization with primary practice located at 40 Furlong Dr , Revere MA 02151-4006. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Stop And Shop Supermarket Co Llc can be contacted via phone (781) 284-0717, or through Farrell, Alison via phone (717) 240-1526.

Contact Information

Primary practice address
40 Furlong Dr Revere MA 02151-4006
Phone: (781) 284-0717
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farrell, Alison
Phone: (717) 240-1526

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1366795809
LBN Legal business name Stop And Shop Supermarket Co Llc
DBA Doing business as Stop And Shop Pharmacy # 11
Authorized official Farrell, Alison
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2012
Last updated Jan 18th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366795809 NPPES
Massachusetts MEDICAID 110000063U

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