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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 563
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(207) 885-2911
Entity
Organization
Contact information
Practice address
5701 SUNRISE HWY, HOLBROOK, NY 11741-4801
(631) 218-8636
(516) 218-8630
Mailing address
5701 SUNRISE HWY, HOLBROOK, NY 11741-4801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
24780
NY
333600000X
Pharmacy
24780
NY
3336C0003X
Community/Retail Pharmacy
Primary
24780
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02079812
—
NY
01
—
3314692
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
08/19/2025
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