Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY #64
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
2110 CRANBERRY COVE PLAZA, ORLEANS, MA 02653
(508) 255-3851
(508) 240-2569
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
2323
MA
333600000X
Pharmacy
2323
MA
3336C0003X
Community/Retail Pharmacy
Primary
2323
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441791
—
MA
01
—
2233562
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/19/2006
Last updated
04/09/2025
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