Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #667
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(207) 885-2911
Entity
Organization
Contact information
Practice address
117 BOSTON POST RD, WATERFORD, CT 06385-2400
(860) 442-6698
(860) 443-4807
Mailing address
117 BOSTON POST RD, WATERFORD, CT 06385-2400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1260
CT
333600000X
Pharmacy
1260
CT
3336C0003X
Community/Retail Pharmacy
Primary
1260
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0712011
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004064093
—
CT
Enumeration date
07/07/2006
Last updated
08/19/2025
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