Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #608
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
99 LINWOOD AVE, COLCHESTER, CT 06415-1100
(860) 537-2570
(860) 537-2598
Mailing address
99 LINWOOD AVE, COLCHESTER, CT 06415-1159
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1599
CT
333600000X
Pharmacy
1599
CT
3336C0003X
Community/Retail Pharmacy
Primary
1599
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0716881
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004162666
—
CT
Enumeration date
07/07/2006
Last updated
09/09/2025
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