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Organization
THE STOP AND SHOP SUPERMARKET COMPANY, LLC
Active
Organization
THE STOP AND SHOP SUPERMARKET COMPANY, LLC
Active
Parent organization
AHOLDUSA
Other names
STOP & SHOP PHARMACY 2587
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLDUSA
Authorized official
MR. ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
3106 FARRINGTON ST, FLUSHING, NY 11354-1906
(718) 886-6262
(718) 445-3687
Mailing address
1149 HARRISBURG PIKE, ATTN: THIRD PARTY COORDINATOR, CARLISLE, PA 17013-1607
(717) 960-8553
(717) 960-1389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034062
STATE LICENSE
NY
Enumeration date
09/30/2015
Last updated
05/02/2025
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