Organization
STOP & SHOP SUPERMARKET COMPANY, LLC
Active
Parent organization
AHOLDUSA
Other names
STOP & SHOP PHARMACY 2593
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHOLDUSA
Authorized official
MR. ROGER WHEELER (PRESIDENT OF PHARMACY)
(207) 883-2911
Entity
Organization
Contact information
Practice address
961 E 174TH ST, BRONX, NY 10460-5060
(718) 860-3363
(718) 860-3439
Mailing address
1149 HARRISBURG PIKE, ATTN: APRIL HOOVER, CARLISLE, PA 17013-1607
(717) 960-8553
(717) 960-1389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034061
STATE LICENSE
NY
Enumeration date
09/11/2015
Last updated
05/28/2025
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