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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 #557
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
421 COMMACK RD, DEER PARK, NY 11729-4508
(631) 274-0949
(631) 274-0958
Mailing address
421 COMMACK RD, DEER PARK, NY 11729-4521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
25130
NY
333600000X
Pharmacy
25130
NY
3336C0003X
Community/Retail Pharmacy
Primary
25130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02188865
—
NY
01
—
3322384
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
09/04/2025
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