Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY#644
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
44 LAKE AVENUE EXT, DANBURY, CT 06811-5244
(203) 797-8476
(203) 797-0289
Mailing address
44 LAKE AVENUE EXT, DANBURY, CT 06811-5244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1375
CT
333600000X
Pharmacy
1375
CT
3336C0003X
Community/Retail Pharmacy
Primary
1375
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0713429
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004093621
—
CT
Enumeration date
07/07/2006
Last updated
02/10/2026
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