Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
Stop & Shop Pharmacy #2701
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
1925 PAWTUCKET AVE, E PROVIDENCE, RI 02914-1642
(401) 726-5332
(401) 728-1640
Mailing address
1385 HANCOCK ST, QUINCY, MA 02169-5103
(617) 770-8732
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4107264
NCPDP
RI
05
—
SS77528
—
RI
Enumeration date
08/31/2009
Last updated
11/12/2025
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