Organization
SHAWS SUPERMARKETS INC
Active
Parent organization
SUPERVALU INC
Other names
OSCO PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPERVALU INC
Authorized official
MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
1485 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 272-2503
(401) 272-6771
Mailing address
312 FARMINGTON AVE, FARMINGTON, CT 06032-1913
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHA00354
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4105917
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
SS21213
—
RI
Enumeration date
05/25/2006
Last updated
02/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us