Whalio Doctors

NPI 1144252008

Stop and Shop Supermarket Co LLC

Organisation Community/Retail Pharmacy Wethersfield, CT

Practice location

Address
1380 Berlin Tpke, Wethersfield, CT 06109-1093
Phone
(860) 956-3740
Fax
(860) 956-0830

Authorised official

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

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 1391 (CT)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 1391 (CT)
Pharmacy
Suppliers Taxonomy 333600000X Licence 1391 (CT)

Registry record

NPI
1144252008
Entity type
Organization
NPI issued
7 Jul 2006
Record last updated
21 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.