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Organization
SHAWS SUPERMARKETS INC
Active
Organization
SHAWS SUPERMARKETS INC
Active
Parent organization
SUPERVALU INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPERVALU INC
Authorized official
DEMOND HAWKINS (THIRD PARTY MANAGER)
(208) 395-3905
Entity
Organization
Contact information
Practice address
8 CHAPEL VIEW BLVD, CRANSTON, RI 02905
(401) 464-9181
(401) 464-9154
Mailing address
8 CHAPEL VIEW BLVD, CRANSTON, RI 02905
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHA00360
RI
Other
Enumeration date
05/25/2006
Last updated
01/23/2018
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