Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #636
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(617) 689-4130
Entity
Organization
Contact information
Practice address
228 S MAIN ST, NEWTOWN, CT 06470-2764
(203) 270-0827
(203) 426-3198
Mailing address
228 S MAIN ST, NEWTOWN, CT 06470-2764
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1394
CT
333600000X
Pharmacy
1394
CT
3336C0003X
Community/Retail Pharmacy
Primary
1394
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0713669
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004101044
—
CT
Enumeration date
07/07/2006
Last updated
03/12/2026
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