The Stop & Shop Supermarket Company, LLC
Pharmacy, Community/Retail Pharmacy in Revere, MA. Organization (NPI-2).
NPI number1366795809
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1366795809
- Entity type
- Organization (NPI-2)
- Legal business name
- The Stop & Shop Supermarket Company, LLC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2012
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Stop And Shop Pharmacy # 11 (Doing Business As)
Practice location
40 Furlong DrRevere, MA 02151-4006
Phone 781-284-0717
Mailing address
1149 Harrisburg PikeCarlisle, PA 17013-1607
Phone 717-240-5520 · Fax 717-960-8371
Authorized official
Roger Wheeler
President Of Pharmacy
2078852518
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