NPI | 1386676260 |
---|---|
Doing Business As | STOP AND SHOP PHARMACY #91 |
Entity Type | Organization |
Authorized Contact | BRAD DAYTON Director 617-770-8782 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 2660) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 2660) |
333600000X Pharmacy (Licence: MA 2660) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2024-05-16 |