Stop And Shop Pharmacy #475

LBN: Stop And Shop Supermarket Co Llc
Stop And Shop Pharmacy #475 is an health care organization with primary practice located at 111 Route 137 , Harwich MA 02645-2153. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Stop And Shop Supermarket Co Llc can be contacted via phone (508) 432-5001, or through Reid, Gordon via phone (207) 885-7454.

Contact Information

Primary practice address
111 Route 137 Harwich MA 02645-2153
Fax: (508) 432-5813
Website:
Authorized official contact:
Name: Reid, Gordon

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2114 Massachusetts
Suppliers / Pharmacy 333600000X 2114 Massachusetts
Suppliers / Community/Retail Pharmacy 3336C0003X 2114 Massachusetts

Profile Details

NPI number 1568481596
LBN Legal business name Stop And Shop Supermarket Co Llc
DBA Doing business as Stop And Shop Pharmacy #475
Authorized official Reid, Gordon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 10th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568481596 NPPES
Massachusetts MEDICAID 0439673
Massachusetts Other 2231544

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