# THE STOP & SHOP SUPERMARKET COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STOP AND SHOP PHARMACY \#15
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336171214
- **Authorized official:** ROGER WHEELER (PRESIDENT OF PHARMACY)
- **Authorized official phone:** (207) 885-2518

## Contact information

- **Practice address:** 450 PARADISE RD, SWAMPSCOTT, MA 01907-1300
- **Practice address phone:** (781) 596-0224
- **Practice address fax:** (781) 596-2311
- **Mailing address:** 450 PARADISE RD, SWAMPSCOTT, MA 01907-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2208 | MA | — |
| 333600000X | Pharmacy | 2208 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 2208 | MA | Yes |

## Other

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