Organization Name: | STOP AND SHOP SUPERMARKET CO LLC |
NPI Number: | 1932134038 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD DAYTON (DIRECTOR) |
Mailing Address: | 747 Pine St Bristol |
State: | CT US |
Postal Code: | 060106925 |
Phone Number: | 8605839213 |
Fax Number: | 8605842755 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 10/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1676 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
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 |