Organization
SHAWS SUPERMARKETS INC
Active
Other names
OSCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIONA TOWNSEND (ASST MANAGER PLAN IMPLEMENTATION)
(847) 916-4513
Entity
Organization
Contact information
Practice address
213 DANIEL WEBSTER HWY, NASHUA, NH 03060-6600
(603) 888-0061
(603) 888-1834
Mailing address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0519P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408875
—
MA
05
—
30011008
—
NH
01
—
3005899
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/25/2006
Last updated
03/05/2010
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