# SHAWS SUPERMARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUPERVALU INC
- **Other names:** OSCO PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013963016
- **Legal business name:** SUPERVALU INC
- **Authorized official:** MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
- **Authorized official phone:** (847) 916-4463

## Contact information

- **Practice address:** 1485 HARTFORD AVE, JOHNSTON, RI 02919-3224
- **Practice address phone:** (401) 272-2503
- **Practice address fax:** (401) 272-6771
- **Mailing address:** 312 FARMINGTON AVE, FARMINGTON, CT 06032-1913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHA00354 | RI | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 02/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4105917 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | SS21213 | — | RI |