Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #605
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WHEELER (PRESIDENT)
(617) 689-4130
Entity
Organization
Contact information
Practice address
55 OAK ST, GLASTONBURY, CT 06033-2315
(860) 652-9208
(860) 652-9298
Mailing address
55 OAK ST, GLASTONBURY, CT 06033-2315
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PCY1821
CT
333600000X
Pharmacy
PCY1821
CT
3336C0003X
Community/Retail Pharmacy
Primary
PCY1821
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0719344
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004225927
—
CT
Enumeration date
07/11/2006
Last updated
02/10/2026
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