Stop And Shop Pharmacy #722

LBN: Stop And Shop Supermarket Co Llc
Stop And Shop Pharmacy #722 is an health care organization with primary practice located at 850 Manton Ave , Providence RI 02909-5655. 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 (401) 453-0288, or through Stone, Bob via phone (617) 770-6257.

Contact Information

Primary practice address
850 Manton Ave Providence RI 02909-5655
Phone: (401) 453-0288
Fax: (401) 453-8298
Website:
Map and Directions
Authorized official contact:
Name: Stone, Bob
Phone: (617) 770-6257

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X L196 Rhode Island
Suppliers / Pharmacy 333600000X L196 Rhode Island
Suppliers / Community/Retail Pharmacy 3336C0003X L196 Rhode Island

Profile Details

NPI number 1811929771
LBN Legal business name Stop And Shop Supermarket Co Llc
DBA Doing business as Stop And Shop Pharmacy #722
Authorized official Stone, Bob
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Jun 2nd, 2009 - about 15 years 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 1811929771 NPPES
Rhode Island MEDICAID SS12296
Rhode Island Other 4105347

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