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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 #714
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
204 GARFIELD AVE, CRANSTON, RI 02920-7803
(401) 943-8285
(401) 943-8684
Mailing address
204 GARFIELD AVE, CRANSTON, RI 02920-7803
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
L257
RI
333600000X
Pharmacy
L257
RI
3336C0003X
Community/Retail Pharmacy
Primary
L257
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4106161
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
SS41212
—
RI
Enumeration date
07/11/2006
Last updated
08/22/2025
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