Organization
SHAWS SUPERMARKETS INC
Active
Other names
OSCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SCHREINER (MANAGER PLAN IMPLEMENTATION)
(847) 916-4711
Entity
Organization
Contact information
Practice address
2077 MAIN ST, BROCKTON, MA 02301-7161
(508) 232-2260
(508) 232-2263
Mailing address
3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3501
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408069
—
MA
01
—
2241660
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/16/2007
Last updated
12/30/2008
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