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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 #404
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
1600 BOSTON POST ROAD, SPRINGFIELD, MA 01129
(413) 543-5428
(413) 543-0042
Mailing address
1600 BOSTON POST ROAD, SPRINGFIELD, MA 01129
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3212
MA
333600000X
Pharmacy
3212
MA
3336C0003X
Community/Retail Pharmacy
Primary
3212
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404837
—
MA
01
—
2228585
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
04/09/2025
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