Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY #94
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
935 RIVERDALE ST, W SPRINGFIELD, MA 01089-4656
(413) 733-8511
(413) 781-0027
Mailing address
935 RIVERDALE ST, W SPRINGFIELD, MA 01089-4656
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1923
MA
333600000X
Pharmacy
1923
MA
3336C0003X
Community/Retail Pharmacy
Primary
1923
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437662
—
MA
01
—
2230124
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
04/09/2025
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