# THE STOP & SHOP SUPERMARKET COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stop and Shop Pharmacy \# 11
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366795809
- **Authorized official:** ROGER WHEELER (PRESIDENT OF PHARMACY)
- **Authorized official phone:** (207) 885-2518

## Contact information

- **Practice address:** 40 FURLONG DR, REVERE, MA 02151-4006
- **Practice address phone:** (781) 284-0717
- **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 |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 04/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110000063U | — | MA |