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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 #504
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
691 CO OP CITY BLVD, BRONX, NY 10475-1673
(718) 862-2883
(718) 862-3276
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
24817
NY
333600000X
Pharmacy
24817
NY
3336C0003X
Community/Retail Pharmacy
Primary
24817
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02090297
—
NY
01
—
3318296
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
04/09/2025
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