Whalio Doctors

NPI 1063444925

Stop & Shop Supermarket Company LLC

Organisation Community/Retail Pharmacy Groton, CT

Practice location

Address
220 Rte 12 Groton Sq Shop Center, Groton, CT 06340
Phone
(860) 445-8807
Fax
(860) 446-1091

Authorised official

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

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 1297 (CT)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 1297 (CT)
Pharmacy
Suppliers Taxonomy 333600000X Licence 1297 (CT)

Registry record

NPI
1063444925
Entity type
Organization
NPI issued
7 Jul 2006
Record last updated
19 Apr 2023

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.