Organization
THE STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Other names
STOP AND SHOP PHARMACY #21
Organization subpart
No
Provider details
NPI number
Authorized official
WHEELER ROGER (PRESIDENT OF PHARMACY)
(207) 885-2518
Entity
Organization
Contact information
Practice address
DAN FOX DR RTE 7, PITTSFIELD, MA 01201
(413) 442-8898
(413) 442-0802
Mailing address
DAN FOX DR RTE 7, PITTSFIELD, MA 01201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2359
MA
333600000X
Pharmacy
2359
MA
3336C0003X
Community/Retail Pharmacy
Primary
2359
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442224
—
MA
01
—
2233891
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/19/2006
Last updated
04/09/2025
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