Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY #88
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
337 GREAT RD, BEDFORD, MA 01730-2802
(781) 271-9403
(781) 271-9437
Mailing address
337 GREAT RD, BEDFORD, MA 01730-2802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2231
MA
333600000X
Pharmacy
2231
MA
3336C0003X
Community/Retail Pharmacy
Primary
2231
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440973
—
MA
01
—
2232875
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
04/09/2025
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