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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 # 11
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
40 FURLONG DR, REVERE, MA 02151-4006
(781) 284-0717
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000063U
—
MA
Enumeration date
10/22/2012
Last updated
04/09/2025
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