| NPI | 1205868189 |
|---|---|
| Doing Business As | STOP AND SHOP PHARMACY #72 |
| Entity Type | Organization |
| Authorized Contact | BRAD DAYTON Director 671-770-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 2993) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MA 2993) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-10-14 |