Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY #425
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
20 TEATICKET HWY, TEATICKET, MA 02536-5615
(508) 540-4711
(508) 548-1430
Mailing address
20 TEATICKET HWY, TEATICKET, MA 02536-5615
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2891
MA
333600000X
Pharmacy
2891
MA
3336C0003X
Community/Retail Pharmacy
Primary
2891
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404616
—
MA
01
—
2236859
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
04/09/2025
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