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
354 WINCHESTER ST, KEENE, NH 03431-3936
(603) 352-5590
(603) 352-5630
Mailing address
354 WINCHESTER ST, KEENE, NH 03431-3936
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0644P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006904
OTHER ID NUMBER
—
05
—
30703665
—
NH
Enumeration date
05/26/2006
Last updated
11/21/2007
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