Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #712
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
622 GEORGE WASHINGTON HWY, LINCOLN, RI 02865-4273
(401) 334-0754
(401) 334-5024
Mailing address
622 GEORGE WASHINGTON HWY, LINCOLN, RI 02865-4273
(401) 334-0754
(401) 433-4502
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
L253
RI
333600000X
Pharmacy
L253
RI
3336C0003X
Community/Retail Pharmacy
Primary
L253
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4106135
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
SS32841
—
RI
Enumeration date
07/07/2006
Last updated
08/26/2025
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