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Stop And Shop Supermarket Co Llc

Stop And Shop Supermarket Co Llc is a health care provider in Dayton, NJ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 24 Summerfield Blvd Ste 101, Dayton, NJ 08810-2438, US
Practice Location Phone732-329-2935
Practice Location Fax732-329-8427
Legal Business NameSTOP AND SHOP SUPERMARKET CO LLC
Other Organization NameSTOP AND SHOP PHARMACY 818
Other Organization Name TypeDoing Business As Name
NPI ?1184656035
Entity TypeOrganization
Enumeration Date ? Jul 7, 2006
Last Update Date ? Sep 28, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Stop And Shop Supermarket Co Llc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies RS00616800New Jersey
Pharmacy RS00616800New Jersey
PharmacyCommunity/Retail Pharmacy RS00616800New Jersey

legacy-id-icon Legacy Provider IDs of Stop And Shop Supermarket Co Llc

Provider IdIssuer StateIssuer TypeIssuer
3144677OtherOTHER ID NUMBER-COMMERCIAL NUMBER
8948101New JerseyMedicaid

official-icon Authorized Official of Stop And Shop Supermarket Co Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Stop And Shop Supermarket Co Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Brad Dayton
Authorized Official Title/PositionDIRECTOR
Authorized Official Phone Number617-770-8782