Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #619
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
1095 KENNEDY RD, WINDSOR, CT 06095-1339
(860) 688-1744
(860) 687-1855
Mailing address
1095 KENNEDY RD, WINDSOR, CT 06095-1339
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1597
CT
333600000X
Pharmacy
1597
CT
3336C0003X
Community/Retail Pharmacy
Primary
1597
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0716893
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004162947
—
CT
Enumeration date
07/07/2006
Last updated
09/09/2025
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