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Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY 558
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
454 FORT SALONGA RD, NORTHPORT, NY 11768-3047
(631) 757-4832
(631) 757-4971
Mailing address
454 FORT SALONGA RD, NORTHPORT, NY 11768-3047
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
026855
NY
333600000X
Pharmacy
026855
NY
3336C0003X
Community/Retail Pharmacy
Primary
026855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02586510
—
NY
01
—
3339632
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
08/25/2025
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