Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(207) 885-2518
Entity
Organization
Contact information
Practice address
1185 BROAD ST, CLIFTON, NJ 07013-3349
(973) 778-2800
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RS00668000
NJ
3336C0003X
Community/Retail Pharmacy
Primary
RS00668000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131580
—
NJ
01
—
3194076
NCPDP
NJ
Enumeration date
12/22/2006
Last updated
08/07/2025
About Stedi
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