Stop & Shop Pharmacy #696
LBN: The Stop & Shop Supermarket Company Llc
Stop & Shop Pharmacy #696 is an health care organization with primary practice located at 460 Elm St , West Haven CT 06516-4233. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
The Stop & Shop Supermarket Company Llc can be contacted via phone (203) 931-9478, or through Farrell, Alison via phone (717) 240-1526.
Contact Information
Primary practice address
460 Elm St
West Haven CT 06516-4233
Phone: (203) 931-9478
Fax: (203) 937-0855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 2048 | Connecticut |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2048 | Connecticut |
Profile Details
| NPI number | 1720038672 |
|---|---|
| LBN Legal business name | The Stop & Shop Supermarket Company Llc |
| DBA Doing business as | Stop & Shop Pharmacy #696 |
| Authorized official | Farrell, Alison |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jan 8th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720038672 | NPPES |
| Connecticut | Other | 0720501 | NCPDP |
| Connecticut | MEDICAID | 004260840 | NCPDP |
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