Organization
THE STOP & SHOP SUPERMARKET COMPANY LLC
Active
Other names
STOP AND SHOP PHARMACY #663
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(617) 689-4130
Entity
Organization
Contact information
Practice address
1360 E TOWN RD, MILFORD, CT 06460-3623
(203) 877-1912
(203) 874-7438
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1622
CT
333600000X
Pharmacy
1622
CT
3336C0003X
Community/Retail Pharmacy
Primary
1622
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0717148
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
940004173986
—
CT
Enumeration date
07/07/2006
Last updated
09/17/2025
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