# THE STOP & SHOP SUPERMARKET COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STOP AND SHOP PHARMACY 406
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164454039
- **Authorized official:** ROGER WHEELER (PRESIDENT OF PHARMACY)
- **Authorized official phone:** (207) 885-2518

## Contact information

- **Practice address:** 425 ATTUCKS LN, HYANNIS, MA 02601-8142
- **Practice address phone:** (508) 790-2182
- **Practice address fax:** (508) 771-8913
- **Mailing address:** 1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
- **Mailing address phone:** (717) 240-5520
- **Mailing address fax:** (717) 960-8371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2113 | MA | — |
| 333600000X | Pharmacy | 2113 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 2113 | MA | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 04/09/2025