Organization
THE STOP & SHOP SUPERMARKET COMPNAY, LLC
Active
Other names
STOP AND SHOP PHARMACY #421
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
815 GRAND ARMY HWY, SOMERSET, MA 02726-1204
(508) 324-9693
(508) 679-1276
Mailing address
815 GRAND ARMY HWY, SOMERSET, MA 02726-1204
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3322
MA
333600000X
Pharmacy
3322
MA
3336C0003X
Community/Retail Pharmacy
Primary
3322
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406317
—
MA
01
—
2238740
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
04/09/2025
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