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Organization
SHAWS SUPERMARKETS INC
Active
Organization
SHAWS SUPERMARKETS INC
Active
Other names
OSCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
160 OLD TOWER HILL RD, WAKEFIELD, RI 02879-3731
(401) 783-1475
(401) 783-5532
Mailing address
160 OLD TOWER HILL RD, WAKEFIELD, RI 02879-3731
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHA00350
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4106197
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
SS42114
—
RI
Enumeration date
05/26/2006
Last updated
11/21/2007
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