# SHAWS SUPERMARKETS INC

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

## Provider details

- **NPI number:** 1316098056
- **Authorized official:** JULIE SCHREINER (MANAGER PLAN IMPLEMENTATION)
- **Authorized official phone:** (847) 916-4711

## Contact information

- **Practice address:** 2077 MAIN ST, BROCKTON, MA 02301-7161
- **Practice address phone:** (508) 232-2260
- **Practice address fax:** (508) 232-2263
- **Mailing address:** 3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 3501 | MA | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 12/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0408069 | — | MA |
| 01 | — | 2241660 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |