Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #625
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (DIRECTOR)
(617) 689-4130
Entity
Organization
Contact information
Practice address
200 NEW HARTFORD RD, WINSTED, CT 06098-3373
(860) 738-2707
(860) 738-4914
Mailing address
200 NEW HARTFORD RD, WINSTED, CT 06098-3373
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1595
CT
333600000X
Pharmacy
1595
CT
3336C0003X
Community/Retail Pharmacy
Primary
1595
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0716843
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004163052
—
CT
Enumeration date
07/07/2006
Last updated
09/03/2025
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