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Organization

THE STOP & SHOP SUPERMARKET COMPANY, LLC

Active
Other names
STOP AND SHOP PHARMACY #72
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization

Contact information

Practice address
57 MAIN ST, WESTFIELD, MA 01085-3170
(413) 568-9660
(413) 568-9561
Mailing address
57 MAIN ST, WESTFIELD, MA 01085-3170

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
2993
MA
3336C0003X
Community/Retail Pharmacy
Primary
2993
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0445428
MA
01
2236265
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/07/2006
Last updated
04/09/2025
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