NPI | 1063444925 |
---|---|
Doing Business As | STOP AND SHOP PHARMACY #682 |
Entity Type | Organization |
Authorized Contact | BRAD DAYTON Director 617-770-8782 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT 1297) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 1297) |
333600000X Pharmacy (Licence: CT 1297) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2023-04-19 |