Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #629
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
898 BRIDGEPORT AVE, SHELTON, CT 06484-4625
(203) 929-3887
(203) 929-3999
Mailing address
898 BRIDGEPORT AVE, SHELTON, CT 06484-4625
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1187
CT
333600000X
Pharmacy
1187
CT
3336C0003X
Community/Retail Pharmacy
Primary
1187
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0711982
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004049854
—
CT
Enumeration date
07/07/2006
Last updated
04/07/2026
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