# SHAWS SUPERMARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OSCO PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285680710
- **Authorized official:** JULIE SCHREINER (MANAGER PLAN IMPLEMENTATION)
- **Authorized official phone:** (847) 916-4711

## Contact information

- **Practice address:** 82 WORCESTER RD, WEBSTER, MA 01570-2163
- **Practice address phone:** (508) 943-8284
- **Practice address fax:** (508) 943-8928
- **Mailing address:** 3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 2859 | MA | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 12/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0447374 | — | MA |
| 01 | — | 2237522 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |