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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 #559
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
530 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4112
(516) 937-7172
(516) 937-7178
Mailing address
530 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4112
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
24787
NY
333600000X
Pharmacy
24787
NY
3336C0003X
Community/Retail Pharmacy
Primary
24787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02079569
—
NY
01
—
3316420
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
03/10/2025
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