# SHAWS SUPERMARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STAR MARKET PHARMACY \#3577, Shaws Pharmacy \#3577
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841246402
- **Authorized official:** KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
- **Authorized official phone:** (208) 395-3932

## Contact information

- **Practice address:** 75 SPRING ST, WEST ROXBURY, MA 02132
- **Practice address phone:** (617) 327-9360
- **Practice address fax:** (617) 327-2938
- **Mailing address:** 250 E PARKCENTER BLVD, 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 | DS3163 | MA | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 05/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110000003J | — | MA |
| 01 | — | 2037751 | PK | — |