Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #684
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
505 N MAIN ST, SOUTHINGTON, CT 06489-2051
(860) 620-9060
(860) 620-1953
Mailing address
505 N MAIN ST, SOUTHINGTON, CT 06489-2051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1487
CT
333600000X
Pharmacy
1487
CT
3336C0003X
Community/Retail Pharmacy
Primary
1487
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0714899
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004129559
—
CT
Enumeration date
07/07/2006
Last updated
04/08/2026
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