Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #670
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
4531 MAIN ST, BRIDGEPORT, CT 06606-1818
(203) 372-6538
(203) 372-3827
Mailing address
4531 MAIN ST, BRIDGEPORT, CT 06606-1846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1707
CT
333600000X
Pharmacy
1707
CT
3336C0003X
Community/Retail Pharmacy
Primary
1707
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004193132
—
CT
01
—
0718114
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/11/2006
Last updated
02/10/2026
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