Whalio Doctors

NPI 1023043122

Stop and Shop Supermarket Co LLC

Organisation Community/Retail Pharmacy Hamden, CT

Practice location

Address
2335 Dixwell Ave, Hamden, CT 06514-2100
Phone
(203) 248-9631
Fax
(203) 407-8406

Authorised official

Name
Brad Dayton
Title
Director
Phone
(617) 770-8782

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 1565 (CT)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 1565 (CT)
Pharmacy
Suppliers Taxonomy 333600000X Licence 1565 (CT)

Registry record

NPI
1023043122
Entity type
Organization
NPI issued
11 Jul 2006
Record last updated
20 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.