# THE STOP & SHOP SUPERMARKET COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STOP AND SHOP PHARMACY \#478
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609808575
- **Authorized official:** ROGER WHEELER (PRESIDENT OF PHARMACY)
- **Authorized official phone:** (207) 885-2518

## Contact information

- **Practice address:** 316 GROVE STREET, BRAINTREE, MA 02184
- **Practice address phone:** (781) 356-8596
- **Practice address fax:** (781) 356-2163
- **Mailing address:** 316 GROVE STREET, BRAINTREE, MA 02184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2172 | MA | — |
| 333600000X | Pharmacy | 2172 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 2172 | MA | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0440507 | — | MA |
| 01 | — | 2232457 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |