Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY 828
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
20 WASHINGTON AVE, DUMONT, NJ 07628-3615
(201) 385-6262
(201) 385-7368
Mailing address
20 WASHINGTON AVE, DUMONT, NJ 07628-3615
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
6014
NJ
333600000X
Pharmacy
6014
NJ
3336C0003X
Community/Retail Pharmacy
Primary
6014
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3143310
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8690600
—
NJ
Enumeration date
07/07/2006
Last updated
09/17/2025
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