Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #657
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
763 STRAITS TPKE, WATERTOWN, CT 06795-3320
(860) 274-7461
(860) 274-6124
Mailing address
763 STRAITS TPKE, WATERTOWN, CT 06795-3318
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1794
CT
333600000X
Pharmacy
1794
CT
3336C0003X
Community/Retail Pharmacy
Primary
1794
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004217792
—
CT
01
—
0719077
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
10/14/2025
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