Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #632
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
80 TOWN LINE RD, ROCKY HILL, CT 06067-1249
(860) 563-4462
(860) 529-5341
Mailing address
80 TOWN LINE RD, ROCKY HILL, CT 06067-1249
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1307
CT
333600000X
Pharmacy
1307
CT
3336C0003X
Community/Retail Pharmacy
Primary
1307
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004147444
—
CT
01
—
0716603
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
04/08/2026
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