Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
Stop & Shop Pharmacy #697
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(617) 689-4130
Entity
Organization
Contact information
Practice address
1094 KILLINGLY COMMONS DR, DAYVILLE, CT 06241
(860) 774-5301
(860) 774-0104
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1555
CT
333600000X
Pharmacy
1555
CT
3336C0003X
Community/Retail Pharmacy
Primary
1555
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004231172
—
CT
01
—
0719495
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
03/11/2026
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