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
2100 DIXWELL AVE, HAMDEN, CT 06514-2406
(203) 230-5005
(203) 230-5016
Mailing address
2100 DIXWELL AVE, HAMDEN, CT 06514-2406
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1662
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0717554
OTHER ID NUMBER
—
Enumeration date
05/26/2006
Last updated
11/21/2007
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