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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 #574
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
158 ROUTE 25A, SETAUKET, NY 11733-2849
(631) 751-5612
(516) 689-1428
Mailing address
158 ROUTE 25A, SETAUKET, NY 11733-2849
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
24788
NY
333600000X
Pharmacy
24788
NY
3336C0003X
Community/Retail Pharmacy
Primary
24788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02079894
—
NY
01
—
3314680
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
09/16/2025
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