Organization Name: | STOP AND SHOP SUPERMARKET CO LLC |
NPI Number: | 1114959095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD DAYTON (DIRECTOR) |
Mailing Address: | 125 Highland Ave Seekonk |
State: | MA US |
Postal Code: | 027715818 |
Phone Number: | 5083364453 |
Fax Number: | 5083366329 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 10/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 3289 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
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 |