NPI | 1821020785 |
---|---|
Doing Business As | STOP AND SHOP PHARMACY #709 |
Entity Type | Organization |
Authorized Contact | BRAD DAYTON Director 617-770-8782 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: RI L66) |
Additional Taxonomies | 333600000X Pharmacy (Licence: RI L66) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI L66) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2011-10-24 |