The Stop & Shop Supermarket Company, LLC
NPI #1366795809 in Revere, Massachusetts
Provider Information
- NPI Number
- 1366795809
- Entity Type
- Organization
- Organization Name
- The Stop & Shop Supermarket Company, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 22, 2012
- Last Updated
- Apr 9, 2025
Practice Location
- Address
- 40 FURLONG DR
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-4006
- Phone
- (781) 284-0717
Authorized Official
- Name
- ROGER WHEELER
- Title
- PRESIDENT OF PHARMACY
- Phone
- (207) 885-2518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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