STOP AND SHOP SUPERMARKET CO LLC
NPI: 1255363115
· EAST HAVEN, CT 06512
· Pharmacy
· NPI assigned 07/07/2006
$410.09
Total Medicaid Paid
Provider Details
| Authorized Official | DAYTON, BRAD (DIRECTOR) |
| NPI Enumeration Date | 07/07/2006 |
Related Entities
Other providers sharing the same authorized official: DAYTON, BRAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
12 |
$410.09 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$410.09 |