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Stop And Shop Supermarket Co Llc
Community/Retail Pharmacy in Lake Ronkonkoma, New York
NPI 1114959079

Stop And Shop Supermarket Co Llc is a Community/Retail Pharmacy based in Lake Ronkonkoma, NY and is specialized in Community/Retail Pharmacy. Stop And Shop Supermarket Co Llc practices in Lake Ronkonkoma, NY. The NPI Number for Stop And Shop Supermarket Co Llc is 1114959079 and holds a License No. 026854 (New York).

The current practice location address for Stop And Shop Supermarket Co Llc is 425 Portion Rd, Lake Ronkonkoma, NY and can be reached out via phone at 631-737-1736 and via fax at 631-737-2879.

Location: 425 Portion Rd, Lake Ronkonkoma, NY, 11779-4579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114959079
Provider Name
Stop And Shop Supermarket Co Llc
Credential
Provider Entity Type
Organization
Address
425 Portion Rd, Lake Ronkonkoma, NY, 11779-4579
Phone Number
631-737-1736
Fax Number
631-737-2879
Provider Enumeration Date
07/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3339618 01 OTHER ID NUMBER-COMMERCIAL NUMBER
02586478 05 NY
institution
Provider Business Practice Location Address Details
Address
425 Portion Rd
City
Lake Ronkonkoma
State
New York
Zip
11779-4579
Phone Number
631-737-1736
Fax Number
631-737-2879
person
Provider Business Mailing Address Details
Address
425 Portion Rd
City
Lake Ronkonkoma
State
New York
Zip
11779-4579
Phone Number
631-737-1736
Fax Number
631-737-2879
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
026854 (New York)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
026854 (New York)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
026854 (New York)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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