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Organization
SHAWS SUPERMARKETS INC
Active
Organization
SHAWS SUPERMARKETS INC
Active
Other names
OSCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SCHREINER (MANAGER PLAN IMPLEMENTATION)
(847) 916-4711
Entity
Organization
Contact information
Practice address
15 STATE RD, DARTMOUTH, MA 02747-3317
(508) 441-5016
(508) 441-5001
Mailing address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
3388
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405281
—
MA
01
—
2240947
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/25/2006
Last updated
12/30/2008
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