Stop And Shop Pharmacy #689
LBN: Stop & Shop Supermarket Company Llc
Stop And Shop Pharmacy #689 is an health care organization with primary practice located at 286 Broad St , Manchester CT 06040-4034. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Stop & Shop Supermarket Company Llc can be contacted via phone (860) 647-0325, or through Dayton, Brad via phone (617) 770-8782.
Contact Information
Primary practice address
286 Broad St
Manchester CT 06040-4034
Phone: (860) 647-0325
Fax: (860) 533-7185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1452 | Connecticut |
| Suppliers / Pharmacy | 333600000X | 1452 | Connecticut |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1452 | Connecticut |
Profile Details
| NPI number | 1407888373 |
|---|---|
| LBN Legal business name | Stop & Shop Supermarket Company Llc |
| DBA Doing business as | Stop And Shop Pharmacy #689 |
| Authorized official | Dayton, Brad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | May 5th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407888373 | NPPES |
| Other | 0714522 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 940004122438 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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