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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 #722
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
850 MANTON AVE, PROVIDENCE, RI 02909-5655
(401) 453-0288
(401) 453-8298
Mailing address
850 MANTON AVE, PROVIDENCE, RI 02909-5655
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
L196
RI
333600000X
Pharmacy
L196
RI
3336C0003X
Community/Retail Pharmacy
Primary
L196
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4105347
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
SS12296
—
RI
Enumeration date
07/07/2006
Last updated
09/23/2025
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