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
1070 IYANNOUGH RD, HYANNIS, MA 02601-1871
(508) 790-1774
(508) 790-1696
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
2819
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445215
—
MA
05
—
0496952
—
MA
01
—
2236227
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/26/2006
Last updated
03/05/2010
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