# SHAWS SUPERMARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730135260
- **Authorized official:** DEMOND HAWKINS (THIRD PARTY MANAGER)
- **Authorized official phone:** (208) 395-3905

## Contact information

- **Practice address:** 11 BERDON WAY, FAIRHAVEN, MA 02719-4643
- **Practice address phone:** (508) 979-8556
- **Practice address fax:** (508) 979-8632
- **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 | DS2542 | MA | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 01/22/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110000004H | — | MA |
| 01 | — | 2037858 | PK | — |