Whalio Doctors

NPI 1255363115

Stop and Shop Supermarket Co LLC

Organisation Community/Retail Pharmacy East Haven, CT

Practice location

Address
370 Hemingway Ave, East Haven, CT 06512-2317
Phone
(203) 468-1113
Fax
(203) 466-7305

Authorised official

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

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 1220 (CT)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 1220 (CT)
Pharmacy
Suppliers Taxonomy 333600000X Licence 1220 (CT)

Registry record

NPI
1255363115
Entity type
Organization
NPI issued
7 Jul 2006
Record last updated
26 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.