Stop and Shop Supermarket Co LLC
NPI #1114959079 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1114959079
- Entity Type
- Organization
- Organization Name
- Stop and Shop Supermarket Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Oct 19, 2011
Practice Location
- Address
- 425 PORTION RD
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-4579
- Phone
- (631) 737-1736
Authorized Official
- Name
- BRAD DAYTON
- Title
- DIRECTOR
- Phone
- (617) 770-8782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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