# SHAWS SUPERMARKETS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** OSCO PHARMACY \#0603
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639125164
- **Authorized official:** TIFFANY ELIOPULOS (ENROLLMENT ASSISTANT MANAGER)
- **Authorized official phone:** (208) 395-3906

## Contact information

- **Practice address:** 137 TEATICKET HWY, TEATICKET, MA 02536
- **Practice address phone:** (508) 457-1185
- **Practice address fax:** (508) 540-2987
- **Mailing address:** 250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | DS3063 | MA | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 06/27/2018