Organization Name: | STOP AND SHOP SUPERMARKET CO LLC |
NPI Number: | 1114952215 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD DAYTON (DIRECTOR) |
Mailing Address: | 204 Garfield Ave Cranston |
State: | RI US |
Postal Code: | 029207803 |
Phone Number: | 4019438285 |
Fax Number: | 4019438684 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 10/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | L257 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |