Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #22
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
55 LONG POND DR, S YARMOUTH, MA 02664-4161
(508) 394-8909
(508) 394-9035
Mailing address
55 LONG POND DR, S YARMOUTH, MA 02664-4161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2115
MA
333600000X
Pharmacy
2115
MA
3336C0003X
Community/Retail Pharmacy
Primary
2115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439568
—
MA
01
—
2231520
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
05/13/2026
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