# THE STOP & SHOP SUPERMARKET COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STOP AND SHOP PHARMACY \#475
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568481596
- **Authorized official:** ROGER WHEELER (PRESIDENT OF PHARMACY)
- **Authorized official phone:** (207) 885-7454

## Contact information

- **Practice address:** 111 ROUTE 137, HARWICH, MA 02645-2153
- **Practice address phone:** (508) 432-5001
- **Practice address fax:** (508) 432-5813
- **Mailing address:** PO BOX 1000, PORTLAND, ME 04104-5005
- **Mailing address phone:** (207) 885-7454
- **Mailing address fax:** (704) 645-6531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2114 | MA | — |
| 333600000X | Pharmacy | 2114 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 2114 | MA | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 04/09/2025